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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 applyin;J: <br /> <br />~.)'J.. '16' /: Slt~rl- <br />~(C. \D,q(, <br />1(;., 1/"1,71(, <br />(1,1/ <br />v <br />C, 1/11 <br /> <br />[,o/~"'" <br /> <br />POD $750 <br />Rezoning $300 <br />== Special Use Pennit $200 <br />_ vacation of Right-of-Way $200 <br />_ Preliminary an:l Final Plat $500 <br /> <br />Catprehensive Plan .Am3I'rlIrent $750 <br />Y= Division of Platted Lot $100 <br />Relocation of Dwelli.:rg $100 <br />- Variance to zoni.rg Ordinance $200 <br />- Shoreline Permit $ 50 <br /> <br /> <br />1. <br /> <br />4. <br /> <br /> <br />(Last ) <br />MtJ 5'S\l.t <br />(state) (Zip) <br />~ - 'f <br />(Last) (:R1one) <br />M tJ S's- J } Z. <br />(state) (Zip) <br /> <br />2. <br /> <br />3. <br /> <br />(Middle) <br /> <br />5. <br /> <br />(City) <br />\~ ~~ E V ) ~~ r; <br /> <br />6. <br /> <br />7. <br /> <br />Present Zonin;J of Property: ~ ~ <br />PropoSed zonin;J of Property: ~ " <br /> <br />8. <br /> <br />10. <br /> <br />Present Catprehensive Plan Designation: <br />PropoSed Corrprehensive Plan Designation: <br /> <br />11. What plan or d1arge makes this request ~ry? S V' \.. \ T \.... \\\ <br /> <br />12. What is the expected effect of the proposed d1an;Je? (For example, on property <br />valkles~healtJJ" safety, ~JqJ;g, traffJ.~~mitions~ ~tc.) <br />.s' r \,. \ \ L ~ \ " \\ M A "\ ~ 1 \-\ ~ ~ I;) f l' \'4 t ~ ~t;) c..K <br />