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<br />02/21/1990 13: 12 FF:OM CITY OF F:OSEl..JILLE <br /> <br />TO <br /> <br />914078505293 P.02 <br /> <br />,,... <br /> <br />/ <br /> <br />f~ 't,01{ <br /> <br />r-' <br /> <br />...;';' . <br />. <br /> <br />'..j, <br /> <br />CITY OF ROSmLLE \ <br />2660 CIVIC CENTER DRIVE ' I <br />ROSmLLE, MINNESOTA 55113 S <br /> <br />Please check item or it..emS for 'Which ycu are applying: <br /> <br />_ P\JD . $750 _ ~ive plan ~ $750 <br />Rezoro.n; $300 Division of Platted lot $100 <br />-X SpeCial Use PeDnit $200 - ~ccation of Dwellil"g $100 <br />_ Vacation of Right-of-way $200 ." '" ':1 var~ to zon.in:1 ~ $200 <br />_ Preli:mina:cY am. Final Plat $500 -'. - ShOreline PeJ;mit $ 50 <br />- <br /> <br />Please canple.te fom by typin;; or pr~ in ink. If the spaces provided are <br />insufficient, use acili.tional sheets, keyln; infonnation to the proper' item nwnberS: <br />1. </>I f' R A L II,,!,!; P. "'STAll M ,. ..:Lr=' I . gOO. ,,2. · 7g '31 <br />Name of owner: (First) (Middle) (laSt) (~ne) <br /> <br />2. 6'11 0 LIJ(<~ e LL~No" v.... D/<.L.AfJ))O ~ ~5 <br />AddreSS of ovmer: (No. an:i Street) (City (State) (Zip) <br />3. geRA{"'~ k. r<1e.I-l~f1>S 1.~.DO'5~2.1837 <br />(NaIte of APPlicant): (First:.) (Middle) . (LaSt) (Phone) <br /> <br />4. 0710 LA/::.OS ELLJ5f1'O~ ~ QRIJ>./v'pO I pL. ~z-8~Y/ <br />(~ of Appl.): (No. ard ) (City) I (state) (Zip) <br /> <br />5. N oP-T!\ E-/I ~ {):>(<N lEi (L c> S!IE lU1Jq A V (!;. "'(oJ)J (!p().)l( "A 1> ., C. " <br />S't;reet AddreSS of PrOperty Involved: <br /> <br />,6. O:mplete Legal. !)esCriptian of Prcpat1:y InVOlved' A tlf'cf1e:-J> · <br /> <br />~ <br /> <br />7. tate PrOperty Ac::quirErl: <br />8. Present Use of PrOperty, V A.C" N T 9. PreSerIt ZOning of p,:operty: 1> t 13 <br />~ Use of PrOperty: 1Z,,<s-rAv-AA^'t" ~ z~ of p,:operty: ""bl'B <br />10. Pre.se.nt ~ensive Plan DeSignation: <br />P:r:opOSai carprehensive Plan ~ignation: <br />11. What plan or cha.rge mat.e5 this request rvar::essar:f? -F~\:Alt(q/\lV1'" <br /> <br /> <br />12. What is the ~...ed effect of the proposed ~e? (For example, <br />VCIlues, health, safety, parking, t.."""d.ffic con:ntions, etc.) <br />J"'~R..EA~ \tJ r~oPE~l VAUJ..E.> c:i1'Het2..eFt'6 <br />/ <br /> <br />