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<br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are awlyirg: <br /> <br />!)~3Q <br />~Cjl, <br />~G OG\~{}tl, <br />T OIP <br />~ <br /> <br />RID <br />Rezoning <br />== Special Use Permit <br />_ vacation of Right-of-Way <br />_ PreliminaJ::y am Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ catprehensive Plan AIrerrlment <br />Division of Platted IDt <br />?< Relocation of ~lirg <br />Variaooe to zonirg ordinance <br />- Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />please camplete fo:r:m by typirg or printirg in ink. If the spaces provided are <br />insufficient, use additional sheets, ~~. infonnation to the proper item numbers: . <br />1. b\l\~-\ c\ ~. ~~~\\~~ lQ'ss~-\ 1 ?\tA <br />Name of owner: (First) (Middle) (Last) (Phone) <br />~I>&\n\ ~~~ Q.~ \\'\~~~s'~,,~ ~~tld-- <br />Address of owner: (No. am street) (City) (s'b.te) (Zip) <br /> <br />~-; ~ o-..s CA. \:;> C) '.JQ.. <br />(Name of Applicant): (First) (Middle) <br /> <br />2. <br /> <br />3. <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />(Address of Appl.) : (No. am street) (City) <br /> <br />~~S'S" r~'~ 0-\L~ h'\JL. ~~, <br />street Address of ~ JIpolved: <br />~~~'\.,~ Ro~\).w~ tJo..."'- \f'l'O\\!l-) Lo1-!; <br />Ccm'plete I.e9'al ~iption of Property Involved: <br />~ \,. \ \ I <br />.~ S' 5"\?\ ~ ,...,...:~\J \L~ A-\J~. Nv. <br />\, ., <br /> <br />(state) (Zip) <br /> <br />\<.uS~\.;: \ \\<L .,,~~ <br />~.\.r-. ^ ,~\ ~ 1 <br />~OjS;i"F~,"'\I\Q'V-.> r'V~ ,......(1. <br />-- D ~ c:1 ~ d. ~ . O~ S' 0 ~ <br /> <br />5. <br /> <br />6. <br /> <br />rEte Property Ac:xlUired: ~ l,~ \J'-.y--5"'~ 1 i' \ ~ ~ ~ <br /> <br />Present Use of Property: ~~~ 9. Present zonin;J of Property: <br />Proposed Use of Property: _ ~~L Proposed Zo~ of Property: .--' <br /> <br />'R- \ <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />Present Conprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. <br /> <br /> <br />12. What is the expected effect of the proposed c:han;Je? (For example, on property <br />values, Qealth, safety, parJd.rg, traffic ex>n:litions, etc.) <br />~~~ <br />