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<br />CITY OF ROSEVILLE
<br />2660 CIVIC CENTER DRIVE
<br />ROS~JI~, MINNESOTA 5S113
<br />
<br />Ple.a.se chec}: ite.':! "y it2."':S for \o,-'hic~ YCf--i. are a~lyL~:
<br />
<br />FtTI
<br />-X- Rezor:irg
<br />_ Special Use Pel:;.>.it
<br />_ \Jacation ~f Rictlt-.:Jf~~l"
<br />_ PrelLr.U.'1ar.l arri Final Plat
<br />
<br />$750
<br />$300
<br />$2GQ
<br />$200
<br />S500
<br />
<br />~reh€.'1si:.'e ::::-la1'1 ..\::!EJ"-.-t:5'1t.
<br />-- Divi-::ic:'! or Platt.f.d Lot
<br />Reloc.ation of I)...1Bll inq
<br />- variance to ZD..~"'B Ordina.:r..c
<br />-- Shoreline Pe~.it;
<br />
<br />$:50
<br />~.lOO
<br />
<br />$lO:}
<br />
<br />$200
<br />$ 50
<br />
<br />Hease OOIlple-...e form by typi!"q cr prl!:ti..~ in in". If the spaces provided a..-e
<br />b.suffidentT use adiiticnal sheets, Jceyir~ informatioI1 to the pr-..;per itan nu;nbers:
<br />
<br />1.
<br />
<br />DDI\{.{ld
<br />(Firs...)
<br />
<br />\Hic:dle)
<br />
<br />....,
<br />lJeirqerU!\
<br />-' (:Inst)
<br />
<br />Name of C\.;ner:
<br />
<br />2.
<br />
<br />~ 59~ Ki a J- f R.os~'ilJe.
<br />Ad<h--ess of CMner: (NQ. a.o::J street) (City)
<br />
<br />fJ:N
<br />(state)
<br />
<br />3.
<br />
<br />~
<br />..latHe's
<br />(Nill:Ie of 1'.ppliamt):
<br />
<br />(First)
<br />
<br />foj,~r+
<br />(Hiddl~)
<br />
<br />\'/ - II /
<br />.;.)(71 "r~./~-;.
<br />{last}
<br />
<br />1111/
<br />(st.~te)
<br />
<br />4..
<br />
<br />elO.JJ fh.Jpf'r,:fy j(/
<br />(Address of AppL): "(No. am Street)
<br />
<br />f&.ldl/k
<br />
<br />,--
<br />
<br />1-140 /~I'4.9d
<br />(City)
<br />
<br />- -
<br />
<br />or?.s-ls Il:cl' U
<br />Street A..:idress of Property Irr.ro::'ved:
<br />
<br />(./13- ~ ~/o/
<br />(FtC:1e)
<br />.{" 5"//J
<br />{Zip}
<br />
<br />7 ?t:J - :Ji;,aY
<br />(FncP.e)
<br />
<br />.5S10f
<br />(Zip)
<br />
<br />CoTIplete Legal ~"Tiption of F"1~rtj' Involved: T~i Ji>"~, /,j-:" r.t .J- -4 .M,..+),
<br />5.JZ,73 teef D[ ';"~I' t;-art ..<~"3 ~ (j~ fit€: Norri.,cttd 'i'f "f .Jec~ JJ
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<br />..;. . I
<br />
<br />G.
<br />
<br />I.
<br />
<br />Cate ?rcperty f>a:pired:
<br />
<br />Prese.!1t Use of ~...rt:'i: ~eL
<br />Pro!:'">OS€d Use of Pror-erty:
<br />
<br />Prese.'1t Zoning of Prape,rty:
<br />Prop:sed Zoni.rg of ~"Ope.!-t.y:
<br />
<br />s.
<br />
<br />
<br />10. Present Co:;pl'ehen.si-..'e PIa:, ~ignatio1'1:
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<br />
<br />~!
<br />_83_
<br />
<br />11. i,"hat plan 0::- chang" makes t..'1is r\?q'....es~ necessary? _.: ~;rr>'; />1 "- k..,? Fc:'1 .!)~
<br />.-:/:Q b.~.., fit,; ,)r<>pf'r"''"f ~'2~...~ ,~.,I'jt!-'e'!<4 ~;c.:l;;7;> ..:. /P.I;?,'ir,;'- ~ ,-e~_F~"n-
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<br />,'-t 1'-,: <tl' Of- 1'\)' ....o..r-J""V( ,'5~(C.
<br />12, Ivh':3't is the ~-tcd effect of tile proP::)S€Q ct:an:~e? (For- 0..."'l;"':-ple, on prq:erty
<br />\'ah.lE'_s, he~lt.1-:., s.::fety, parkir-q, traffic o:mditio.'1..s etc.) , .
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