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<br /> <br />,.. <br /> <br />2Gb? <br /> <br />ern OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, HIBNESOTA 55113 <br /> <br />Please d1eck item or iw.6 far whi.ch you <L--e applying: <br /> <br />roD $750 QapLebensive Plan ImIeJdment $750 <br />- RezaniDJ $300 - Divisicn of Platted LX $100 <br />::8: Special Use Pe1::IIit $200 - Relocation cf DwelJ.iRJ $100 <br />_ Vacat1at of Right-of-1lay $200 X Variance to zcmi.Jq 0J:dinarx::e $200 <br />_ Preliminary and Final Plat $500 Shoreline Pa:mit $ 50 <br /> <br />Plsase caIpletA fot.1R by typin:J or print.ing in ink. If the spaces prorided m:e <br />irmufficient, use additi.aal sheets, kayiIq infon!ation tx> the proper item udWIO:tt:'$: <br /> <br />1. C"e;t\}L C~TI r..\V(S+Mt-of\\ S; <br />Nama of Qmer: (First) (Middle) <br /> <br />:;}'1 (. ~CI..4 Th A \~1ei[__ Si.ft"~T <br />Address of owner: (No. am S"creet~ (City) <br /> <br />R o.5ew.:od. C \)' f\~' 4. i '---'V <br />(Name of Applicant): (First) (Mitme) <br />I J /,Jl'J t- (O~''''I1"' R S..... ]00 ft-v!(' ".:ai <br />(Address of AppL): (NO. ard street) (City) ( <br /> <br />;)5.;2$ S'l\e'L~ G Av~. ).)0, <br />St1:eet Address of Property Involved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />(last) (Iba1e) <br />.srp.",L ~,,J ~5'OS <br />(~) (Zip) <br /> <br /> <br />(last:) <br /> <br />5. <br /> <br />6. O:i\1;Ilete Isgal Descrjptian of ~ Involved: At1^LI...f',( <br /> <br />7. Date ~ Acquired: 11 ~ q <br /> <br />8. <br /> <br />Present Use of Pcopaty: VI'\(....f\1 9. Present Zan.iIq cf PropP.rty: R- I <br />Proposed Use of Property: F..,^,t"'i ~~...ef!.. PrqJosed Zoning ,:)f Property:-:a:=:::L <br />V'\~tl 1~ ~ <br />Present O:I:prehensive Plan Desiqnaticn: <br />Proposed catpTehenslve Plan Designation: <br /> <br />~t plan or ct\ange' makEs this request necessary? e.. ....It'e, t 2. \..'I.~ <br />V"M.-- e.-I Allol.-'.1 (, _f..,,^.t..-..~ ~i\.)!"'- V.',\-t'\. " ~pn.^1 v'L<... <br />f\.fi"'"'~t 1. f 71-..1 .s'tI;\'-( ; ,__~.:}." Y. :0() ~Q~A.'1" ~T. <br /> <br />10. <br /> <br />11. <br /> <br />12. <br /> <br />~t is the exr~ effect of the prqxJSE!d d\arqe? (For exanple, an property <br />values, hE:alth, saf:ety, parkiIq, traffic OOI"ditioos, etc.) '7,'\J or . <br />~~ C..~<. '~t \.'.\;..cOHn.....1...I'~.. I tcal.\ , t-:.'......T. (, ~f)oId...... <br />.....i..f 1~"_rF:' l' tW .<'-~'I b.-",......>t ....~ 7"':' f .1'.......,' f.-....:t-.:..( ---:u. . -n-if ~~~tF;~ <br />...lL1..\L> ,ff'-LtI f"~~" 1.....'.".'-. ,.L'I~c11 41."'0_ "Ail.-J ,.......",....HJ io i1...l.,,- , <br /> <br />i,...r~,;. L'q~'.".,,.;. ~,~,j j,;...,-~, ',:..; (,:V./.: h.,..,.. l..+'. 1hz ,\.'t'.ja..L".k~rd <br /> <br />~~ii-t.'. 'I~':,\ Jc.~ '" 1~ ~II"..._.'J 0)<~ '-~1~,U 8-1 z,;",\:..., <br />.J <br />