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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 applying: <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Cc::IIrprehensive Plan Amendment <br />Division of Platted lot <br />- Relocation of IMelling . <br />V Variance 'to Zoning Ordinance <br />- Shoie1.ine Permit <br /> <br />RID <br />_ RezoI1in:J <br />Special Use Permit <br />- Vacation of Right-of-Way <br />- Prel" ani Final Plat <br />_ .l.1'lWlarY <br /> <br />t\o'f--' <br />? ?II <br />'b' <br />11,1 ~,tjl <br />d'Z <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please camplete fonn by typing or printing in ink. If . the spaceS provided are <br />insufficient, use additional sheets, keying information to the proper item rnnnbers: <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />AE~ if ~OTQ\Js;..T <br />Name of OWner: (First) (Middle) <br /> <br />Z2.~ ~\.l\ l1t S:.\: ~~TO"'" <br />Address of OWner: (No. and street) (City) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />M'A. <br /> <br />O~, lD 2~' <br />(state) (Zip) <br /> <br />c."v ~'. Dt!>~v tl L t~. <br />(Name of Applicant): (First) (Middle) <br /> <br />'2~l- b G",c G.w.,-e.h- ~. <br />(Address of Appl.) : (No. and street) <br /> <br />(last) <br /> <br />~e.VI~Lt: M~ <br />(City) (state) <br /> <br />5. -'~ 2..0 T~~ ~Ive <br />street Address of Property Involved: <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />'" <br /> <br />(Phone) <br /> <br />S-S-I )s <br />(Zip) <br /> <br /> <br />Date Property Acquired: . <br /> <br />Present Use of Property: -I.-\ 9. Present Zoning of Property: .T - \ <br />Proposed Use of Property: ~....a Proposed Zoning of Property: ~Mt. <br /> <br />Present CoIrprehensive Plan Designation: ~'-l D~ \tl.\,Al- <br />Proposed CoIrprehensive Plan Designation: <br /> <br />What plan or change makes this request ~~?1tE~ (~~-m.vC"t('~ C~F <br />-,e.no~A.." [;!. ~'...,ii A.ctt.ot,.fii. T::t-\\~ ~_'~':!_ <br /> <br /> <br />(For exanple, on property <br /> <br />c~ <br />