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<br /> <br />zDl>Z <br /> <br />-- ..". <br />- " <br />:.~ i. .:. t . <br /> <br />~~-n..oa <br /> <br />Cl'l'Y OF ImE'JII.U: <br />2660 Civic Center Dri....e <br />Roseville, H.i.nnesota SSllJ <br /> <br />Please check item or items for wbid1 ya1 are applying: <br /> <br />roD $750 ~ve Plan ~ <br />= Rezordn:;J $300 ~bi.v.isicn of Platted ~ <br />_ ~a1 Use Pemit $21){' Re.l.OCa.ticn of ~ <br />_ ~t:.iDn of Right-of-way $200 = variance to ZCI'ri.n9' ontin1mce <br />_ Prelimin'a%y am Fmal Plat $-1)00 _ Sharel.ine Pe1:mi.t <br />Please ~et"s fotm by typiDJ or pr:int:.Ug in.ink. If the spaces pmrided axe,' <br />~;cje7Jt:. use atXIitional sheets, ksyitq .infomation to the prqer ibem ~: <br />L ~~wner: R,,-~~ ~~il f::o",~) <t:YZ-7~~ <br /> <br />2. ;<,'r79 1'/. G-Lo ~ f1~R- J'If~ - rr;/.3 <br />Mcb:ess of o.mer: (No. an:i street) (City) (State) (Zip) <br />R. e-/'M LJ .Dt!!;v,v; I ~;vJA:.' lfJ:.?-~cfl <br />Name of Appl icant.: (First:) (Hid::Ue) (last) (D1onet <br />4. ~ f'70 AI. fQ rc,J fit) Red.<.v~/'- ,?I~. 1"-:1_ ,~I J .. <br />Address of Applicant: (No. am Street) (City) (State) (tip) <br />8" 5'"'8'- {/II. Co, t2 LJ &: <br />Street ~ cf Property Involved: <br /> <br />3. <br /> <br />5. <br /> <br />6. <br /> <br />~~~~~t=.-~~ <br />j~~~--~ ~~ ';. . <br /> <br />Ihte Prcperty AOqu.ired: ~ r II I 7 f; , <br /> <br />1. <br /> <br />8. Present Use of Prcp>xt:y: . .It....,, - 9. Present Zonirq of Property: ,e. , <br />P.cq:csed Cse of Property: R...~ PtqxJsed Zon:in;J of Prq:Ea:t:y: ve.., <br /> <br />10. Present ~~-.si..-a Pl3.."': t'esir03t.:-:.c:-rt: .. J ~.....,"*= c-~'/~;-;< _ <br />~ ~ive Plan 1RS1g:'.aC.cn: ~4 -ro -I::I..i:,~~ ~ <br /> <br />11. ~~~~~1E~=E(<<(i€;7~ <br /> <br />12. What is tl'.e expcctocI effect of th-e f~. ch.1nge? (For exaqUQ, on ~. <br />valt;es. ~eaJ.t.'1. safety. ~, tr.1tflc oorx:U.tions, etc.) I /1/ <br />~(r f"'Lr~.4-k' t-A-"f..,;<-. c~ L.JT(tL....A.c~ J~IY7~/II...<- .~ <br />-J.I.L.ii.-... "'..1~ :I _ ~~ <br />