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<br /> <br />CITY OF ROSEVILU:. <br />2560 CIVIC CENTER DRT\'T <br />ROSEVILLE, MI~LSOT^ 55113 <br /> <br />Please check itell Dr iter.s for ....tUrn yoo are awlyin;: <br /> <br />_ FUi) <br />Rezcci..~ <br />= Speci3.l TJse FE-"'"Zci t <br />_ Vacation of Right-of4>ay <br />_ Prelimir.ary arrl Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />O:::I:pre..~.sive Plan A..'"E.~t <br />- Di\'isioJ1 of Platted lDt <br />- Relocation of I)..ellin; <br />-y- varia.>a:! to Zonii-.g Ordinance <br />Shoreline Perni t <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please ~lete form by typin;J or printil'B in ink. If the spaces prcr.;iderl a..~ <br />i.."'\sdficient, U3e a..iiitianal sheets, y.eyinJ inforration t:> t.be proper item IToJ:nt'E-rs: <br /> <br />1. <br /> <br />Liberty R~se~ood Ll~i~e~ ?ar~ners~i~ <br /> <br />(~) <br /> <br />Na.'1J: ,?f .00Iner: ,JFi....""St) _ ~.iddle) <br />C'Q L:be:~~' Rea~ ts~ate ~cr?o~a~:~n <br /> <br />02::1~j <br /> <br />2. <br /> <br />6De p.:.lant.:..c Ave.., <br /> <br />Fe(lerQl Reser\.e P:az..3. <br /> <br />23:-c <br /> <br />5:::-:s:'G!'";. ~,,; <br /> <br />~~ <br />'... ., <br /> <br />1\dd..---ess of WJ'~: <br /> <br />(No. c>ro S"-w:eet) <br /> <br />(Cit'l! <br /> <br />(State) <br /> <br />3. <br /> <br />H:;gh ~1. M?:.;jc;:rc, ESe}., :-.:tc_:rr:ey :,-::r (i",,':~eY- <br /> <br />-(Na.-re of Awlicant). (First) <br />Leonard, StreEt an~ D€:~a~d <br /> <br />(~.icill.e) <br /> <br />(Last ) <br /> <br />4. <br /> <br />150 S8~t~: Fifth S:reet, S~lt~ 2~CO, ~l~~eap01is, M~~~2s0ta <br /> <br />(AdO.....-ess of 4Pl ): (~(). a--d street) <br /> <br />{C':;'ty} <br /> <br />(St.ate) <br /> <br />5. <br /> <br />273'; V.:.ctc:!""ia Street, Rcsey:~le, ~-1~ <br /> <br />6 <br /> <br />S""....reet 1\ddre.SS of Property 1r;1101 ved: <br /> <br />O:mi'l.. +.e w;;;al, [):s:rip>-~on of ~....ty Involve.:i: <br />surve~' a~c a05~racter's cE~t:fica~e. <br /> <br />~ f::-2 e:-~c I oseG. <br /> <br />7. <br /> <br />l.A:1:e Prcpert'j Aa:]Ui...~: <br /> <br />Fei:n.-~ar\' -: <br /> <br />19B? <br /> <br />AFa~-tIT:e~~ts <br /> <br />.. .-- ~- <br /> <br />Prese.'1t ZOT'.i..~ of Prq:erty: R- 3;'. <br />~ ZanirJlg of Prq::erty: Same <br /> <br />8, <br /> <br />Present Use of Prc:p=..rty: El de r h 9. <br />Ptt"i-'_'S€d Use of ~: _Sa",C' _ <br /> <br />:"0. <br /> <br />Present ~rehen.<;ive Plan !):!sigTl?.tion: <br />Propcs€rl O'::r.t:>I'e.'1ensive Plan Designati::>n: <br /> <br />Sa::-e <br /> <br />l.'7"; ~_ ~ ,'-........::-; . <br /> <br />(Fnc-J:e) <br /> <br />(Zip) <br /> <br />(Ft-.one ) <br /> <br />55~02 <br />(Zip) <br /> <br />11. What plan or c:ha11ge makes this request necessa.ry? The t,..:1:~: nc; ac= C'o"structe~ <br />1!:. 19B~ enc=-,:)'3.:~-:e5C..-' :~"":'~.-...-:=: 1€'~~ lnti:- ~l:e l:-.~fcc't.--s~-"',:...::!': seL.-h.a::-k arpa ~-"1d :.~;:. fE"..:t <br /> <br />}~d; ~~~l&:~o~~C' l~~~ ~~;~~~n~a.~e~::;~.,,~~~a:~t.'~~~:~t'c~' ~.~~~~Io~'~~~;~~ ~c~.;;;~:.;~:s <br /> <br />i :"It.c' tJ1C se:...bac k 3.re3~. <br /> <br />12. What is the e.~...ed effect of the prq:xJS€:J"haTX!e? (For exa.-rple, on prq:Jert'j <br />values, health, safety, park.irq, t..'"affi;:: (X)rrljtions, etc. ~ <br />Ncnt.." . <br /> <br />----.-. <br /> <br />~-- ------------ <br />