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<br />Please CCIIplete form Vi typing or pri.nti.-g i.'1 Wk. If the spaces providErl are <br />insufficient, use additiooal sheets, keyinJ j!".fomation to the ~ ita!! J'tI.IIIiJers: <br /> <br />1. eATJ./r.R iW"P E, -TAU(;f( c.lk+~/V4 <br />Nane of owner: (First) (Mid:i1e) (Iast) (~) <br /> <br /></S-7 (!.,c; Rd. 13 ~ (.i) . R r' ~FtJ i~...cb~ <br />Ai3ross .::>f o.mer: (No. am Street) (City) <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MIh"'"NE50TA 55113 <br /> <br />Please d1eck item o=- items for -..him yw a...-re aw1yi.,-v;p <br /> <br />R!"U <br />_ ~o.1irq <br />_ Special use ~t <br />_ Vacation of Right-of-way <br />_ Preli:DriDary are. Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />~ve Plan A1"nerD.'-aent <br />~ Divisicn of Platted I.Dt <br />- Relocation of Do'ell~ <br />~ v'ariance to Zoni.n3 orciire.~ <br />Shoreline Pem:it <br /> <br />2. <br /> <br />fY'1.l rJ,iJ - <br />(state) <br /> <br />3. <br /> <br />00htV . f!.1Jt;OL <br />(Name of iIg)licant): (First) <br /> <br />f:Nf)€I?T <br />,Last} <br /> <br />, "1 <br />. .," <br />cMidill.e) <br /> <br />4. <br /> <br />'lId. U), ~RDOK~ AilE. uJ, <br />(Addr.:ss of Appl.): ',No. am ~..root) <br />'1:51 CD R& B ~ l.J , <br />Street 1ddress of PrqIerty In;rolved: <br /> <br />/f) iAJA) <br />(state) <br />PRfiPeA n-1) <br /> <br />(<D.5G tJ II_L iE <br />(<.'ity) <br />,,- . <br />i_ SPJ.!1 <br /> <br />5. <br /> <br />6. <br /> <br />CcIIplete ~ Desc:ripti.::.on of Property Involved: <br />o 1.,- <br /> <br />/-:J -;")9 - cJ3 - ~y - i;'8' <br /> <br />. ,.r,- <br /> <br />~ t-.. <br /> <br />'. .~ <br /> <br />. {. : <br /> <br />.:.,' :.. <br /> <br />'- ~',---:... <br /> <br />::-~-:.::? <br /> <br />$750 <br />$100 <br />$100 <br />$2')Q <br />$50 <br /> <br />-SSli3 <br />(Zip) <br /> <br />...,g </--;1897 <br />(Jbale ) <br />s-S113 <br />(Zip) <br /> <br />_ ',J~-:-...'. ,. ::. <br /> <br />7. i..Bte ~ h::.qui.J:'OO.: ..l!Mi.t.-H 3 i /9S:1_ <br />"f!~;() <br />8. Prese."'\i:. USe cf :PrqIf>.rt}": RESi06'll7t:/i... 9.. Present Zoning of~: ~Es.ID!J>TI#L. _.HSTt) <br />Prq:a;ed Use of Pl:c1prc?rt:f:/KOr,.,;:AlTIiI,-.t1:f,W ~ Zoni...-.;t of l'roperty: 1i~~T.~-~'::"ilJ <br /> <br />10. ?resent cxr.prer-.ensive Pia.., Designation: <br />Pr"op;)sed Cr,1p...---e..'1ensive Plan Desi<.ma.tioo: <br /> <br />11. <br /> <br />~1at plan or cha,~ makes this request nec.essary? <br />v-:;,yl-f) ;..11<6 Tv RE: Sf'L.:/ ,<-' <br />I""&~"YJ~. <br /> <br />lifE <br />,-, . <br />{jL~i L.l) <br /> <br />I-~P9? it"' <br />8 rvc:~' __ <br /> <br />12. \\1'-.at is the expected effect of t..'1.:: proposed ch.3.IYJe? (For exa.1ple, or. property <br />values, healt.~, safety, parking, traffir' corditions, etc.) <br /> <br />