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<br />Please CDIplete fozm by 1:yp:in:J or printin:J in ink. If the spaces prtrII'i.der:i are <br />insufficient, use additicmal sheets, Jceyin;J infotmatiat to the prcper item ru:bers: <br /> <br />", 1. J..E7 Nvtl Ta.../ ;) HoPPE5 ~ / 1'1, ~O PAil( rlt/e.A.. Sit' /;' <br />Name of OWner: (First) (Nicm.e) (last} <br /> <br />.LR/K Ro.G(/';;'r;.. (;;(EEN" C{);4(Vt: ~.v'~r.., ~'n, ~' <br />M:b:ess of Oimer: (No. am street) (City) (St..:ate) <br /> <br />~; j./~t.J&Al.s ( Jo~~ $. ~""~d~~ ,-pArs.) <br />(Name cf AIPlicant): (First) {Micm.e) (laSt) <br /> <br />3 ;,y, N(, . ~E )U"'~ TO'{/ /1V'~ 5/YC,r(f y,c~, ~IV, '5""6'"2ft <br />(~ of Afpl..) : (No. and street) (City) (State)' (Zip)- <br /> <br />~7';'7 .-th. <.EX/-f/t:rO'1/" A'O.5cV;'<~. ",1/. <br />street Address of P1:q)erty Involved: . . <br /> <br />/J <br /> <br />, <br /> <br />CITY OF ROSEVIw...:. <br />2660 CIVIC CENTER DRIVE <br />RGSWILLE, IIIHHESOTA 55113 <br /> <br />Please c:hec'k i1:en or items for ..ru.d'l yw ilL'"e awl~: <br /> <br />roD <br />- RezariDJ <br />:::I2:'" Special TEe lb.mi.t <br />_ Vaca.ti.\X1 of Right~f~ <br />_ ~.a:e1.iminazy ani Flml Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ ~d:ensive Plan ~t <br />Divisia1 of Platted IDt <br />-- Relocation of Dr.'e.ll~ <br />= variance to Zarin} ~ <br />ShorelL'"Je Pemit <br /> <br />r', <br /> <br />{2. <br /> <br />3. <br /> <br />/". <br />'4. <br /> <br />5. <br /> <br />'-,5. <br /> <br />Q:IIplete II?gal Desc:r.1pti.cn of P.rq;erty Involved: That part <br />nortn of the So. 75 ft. ot said lot 8. Bl~ 1: The <br />lying We!':t of till:! East 75 ft. (\f sa~d Lot 8. B1k <br />_ The T__Pk1 ngt.on. <br /> <br />;:,[ Lot 6. Ivinq <br />So. 75 ft of Lot B <br />~ll in <br /> <br />. ~ <br /> <br />7. lA;.':"'! Prcpe..'"1:y Acq.rired: :- / :~2 <br /> <br />f~ . C;! ~,qo <br />\ r Jj <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$50 <br /> <br />.~) <br />5$'// F' <br />(Zip) <br /> <br />,P.D1e.) <br /> <br />.53//~ <br /> <br />8. <br /> <br />Present Use of Pr.::perty: <br />PrqJosed Use of I'rq)erty: <br /> <br />., " . 9. Present ZarinJ of Property: ;.-, - 'i <br />"c"';" Prqx.\SE!d Zoni.~ of P.lqx'It'l: ~ ~ <br /> <br />1m Present ~rC!hensive PIa.' Desi~tim: <br />Prc::pcaEd CcIIpreher.sive Plan Designatioo: <br /> <br />11. What plan or d1an:Je makes this request necessary? <br /> <br />12. What is the ~ effect of the pI'q)05ed c:tIa"qe? (For exaIiple, a1 prcpe..-t:y <br />values, haalth, safety, parki11g, traffic ::xnlitions, etc.) <br /> <br />