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<br />~---......--....-,"'"".~ <br /> <br />14..2"2 - 01 <br /> <br />~~ ~ r;.. q ~ <br />OlP'~ 0~lJ <br />~t.,. Dli~ <br />eJ.; <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are awlyin:J: <br /> <br />_ roD $750 <br />Rezoning $300 <br />== SpeCial Use Pennit $200 <br />_ vacation of Right-of-way $200 <br />_ Preliminary am Final Plat $500 <br /> <br />eooprehensive Plan Amerrlment $750 <br />-.:L. Division of Platted Lot $100 <br />Relocation of Dwel1in;J $100 <br />- Variance to zonirr;J Ordinance $200 <br />- Shoreline Pemit $ 50 <br /> <br />Please complete fom by typin:J or printin:J in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin:J information to the proper item numbers: <br /> <br />1. ])a"i~ E. ~d.t- 'lK1-~/I:5 <br />Name of OWner: (First) (Middle) () (Fhone) <br /> <br />J!: o~cJ:r ~!: ani street) ~~~~ (~i,) ~f <br />{k"e) & ~ '/F7'.H/~ <br />(Name of Applicant): (First) (Middle) () (Phone) <br /> <br />" 6 ~Qft,(il(t ~571 <br />(Address of Appl.) : No. am street) (City) (state) (Zip) <br /> <br />q%,;). tl/~ /?d. 8 <br />street Address of Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br /> <br />5. <br /> <br />6. Complete I.egal Description of Property Involved: <br />f/~Jn O';;37UJ 'tJ~T~~ ~~ ~ <br /> <br />Od, /1f~ <br /> <br />7. <br /> <br />rate Property Acquired: <br /> <br />. <br /> <br />8. Present Use of Property: (I~ 9. Present Zoning of Property: I( -I <br />PropoSed Use of Property: ./)1.<J~ ~~ PropoSed Zoning of Property: t:.,- / <br /> <br />10. Present Canprehensive Plan Designation: <br />PropoSed Canprehensive Plan Designation: <br /> <br />11. What plan or ~e makes this request necessary? <br /> <br />12. What is the expected effect of the proposed ~e? (For exanple, on property <br />values, health, safety, parki,nJ, traffic con:litions, etc.) <br />