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<br />------- <br /> <br />) <br /> <br />, <br />- .. <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 applyi.n;J: <br /> <br />RID $750 Carprehensive Plan A1rerrlment $750 <br />Rezoning $300 ---y- Division of Platted Lot $100 <br />- Special Use Permit $200 - Relocation of DNelling $100 <br />- Vacation of Right-of-Way $200 == Variance to zonin;J ordinance $200 <br />* Preliminary am Final Plat $500 Shoreline Permit $ 50 6~- <br />Please complete form by typing or printirg in ink. If the spaces provided are ot>ll <br />insufficient, Use additional sheets, key:in:J informa.tion to the proper item numbers: ' <br />1. ~'rfhu.)' Glue /( l77ae/le'J'- CJ'l-oaj2.. <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />, Jf ./'--- <br />2;?-11/ f1Ct7'ri] i<,d ~L R~.sev///~ HI! ~:;((3 <br />Address of 0Nner: (No. am str~ (City) (state) (Zip) <br />l1'rf64r G/"u. ~k J71u.~I!e..)- C;)1-~c:7'Si <br />(Name of App1icant): (First) (Middle) (Last) (Phone) <br />~ ~O / flG6'r t?!?d fi? Lj$1:!!.1/ /11 ~ #,v::; '7?i/:; <br />(Address of Appl.) : (No. arrl street) (City) (state) (Zip) <br />;J.~J." R~J~/7 I~d f<O:5~I/''I/~ (VI. tV ~;-!;1// J <br />street Address of Property Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. Complete Legal Description of Property Involved: <br /> <br />. <br /> <br />7. Date Property Acquired: <br /> <br />9. Present zoning of Property: <br />Proposed Zonin;J of Property: <br /> <br />8. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />10. Present Co.nprehensive Plan Designation: <br />Proposed Co.nprehensive Plan Designation: <br /> <br />11. What plan or change makes this request necessary? <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, park.in;;J, traffic corxtitions, etc.) <br />