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<br />.. ~ <br />.;.~ '1 <br />:t <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />I <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />a ( . <br />)31 i u8,Q I <br />/1,' (/! '. <br />ft ; lb;' tl. <br />€-t / <br /> <br />Please check item or items for which you are applying: <br /> <br />PUD $750 <br />X Rezoning $300 <br />_ Special Use Pennit $200 <br />Vacation of Right-of-Way $200 <br />== Prelilninary am Final Plat $500 <br /> <br />Comprehensive Plan Amendment $750 <br />=x Division of Platted Lot $100 <br />_ Relocation of IMel.ling $100 <br />_ Variance to zoning Ordinance $200 <br />Shoreline Pennit $ 50 <br /> <br />Please complete fonn by typing or printing in ink. If the spaces' provided are <br />insufficient, use additional sheets, keying infonnation to the proper item numbers: <br /> <br />1. <br />t~l Q~~ <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />, <br /> <br />-" <br /> <br />7. <br /> <br />, , <br /> <br />-<: 8. <br /> <br />.( <br /> <br />-1)AVIO G-E~RG-t sr~\W~G- <br />Name of OWner: (First) (Middle) <br />3 \ ~ 7 s H\)RJ~ w~(\ \) 0 R. J\Rt) (N HI ~L-~ <br />Address of OWner: ' (No. am street) . (City) <br />t) i\ \J, \ \) . G-E\) \((t.( <br />(Name of Applicant): (First) (Middle) <br />'3 I ~ 7 5 \1 \) R ~ \IV \) () {) D R. 1\ R. \) ~ N \4 \ \.. L ..5 <br />(Address of Appl.) : (No. am street) (City) <br />21 a 'kt~;fi\~k\tl~Y\l-;; A v E. ~;' ~ JJ<~~St~;\ ~tl <br />street Address of" Property Involved: <br /> <br />~ ~ J 'LfB <br />(Phone) <br /> <br />(Last) <br /> <br />MtV b~l\<.. <br />(state) (Zip) <br />SE~~ERG- ~13 ~~j <br />(Last) (Phone) <br />MN SS\(~ <br />(state) (Zip)' <br />M ~ 5 S \\ 2., <br /> <br /> <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />11. <br /> <br />12. <br /> <br />