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<br /> <br /> <br />. <br /> <br />. . ' . <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNF.5OTA 55113 <br /> <br />Please check item or it.eins ~or which yoo are arplyi.n:}: <br /> <br />RJD <br />= l\ezari..-g <br />8Pecial Use Permit <br />= vacati::JO of Right-of-way <br />_ Prelim:iJ1ary and Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ ~ive Plan Ana'rlment <br />, Division of Platted I.Dt <br />- Relocatioo of Dwellil-q <br />- va.riarce to Zar~ Qrdir.ance <br />- Sho-reline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$50 <br /> <br />Please cxmplete form by typirg or print.in:s in ink. If the spaceG provided are <br />insufficient, use adliticm.l sheets, ke)'irq Womatian to the prcper item l'113:Jers: <br /> <br />1. <br /> <br />-,-:-", ~ 1,".! ~ <br />~_' '-- / -' oW' <br /> <br />'..-'?... ,:.:'1__\._ <br /> <br />. :.: ::~-: ~ ~ .~<~ -~ -----:: <br /> <br />Name c-f 0I0Iner: <br /> <br />(Fi....-st ) <br /> <br />(last.) <br /> <br />(M.1.ddle) <br /> <br />2. <br /> <br />--, <br />/'~~. L/ ...~ 0.;5 E" <br />M:U:ess of o..-ner: <br /> <br />(No. am street) <br /> <br />. '. ~ <br />"'. _,".. '" ,r, .:. <br /> <br />. ',,;;: (::'--'.>~~ ~.' -. <br /> <br />-' <br /> <br />",~ , <br />-: '.I', <br /> <br />(City) <br /> <br />(State) <br /> <br />3. <br /> <br />'iA-<."1r fi-~ .<;:;;"'~~iL--- <br />~ of ~icant): (First) <br /> <br />(Middle) <br /> <br />(last) <br /> <br />4. <br /> <br />:5 J(}.-"!T ..{' c .~ -3~" ".r <br />(1d3ress of. Appl.): (No. ani SO-...l"eet) <br /> <br />(S"'"...ate ) <br /> <br />(City) <br /> <br />~i ...- ,;: <br />5. t.:;:/\ - . ---- ..; "...:; ."_ <br />street 1dh"ess of Property rnvolven: <br /> <br />6. Ca1plete Legal tescription of Pr:c::perty L'Wolvoo: <br />....:;~~ .:s,,,,/I<? V.- v <br />... <br /> <br />7. <br /> <br />I))te~..~: "....,<c <br /> <br />~ <br /> <br />'7'[:J -L;'~S-2- <br />- (R1one) <br /> <br />C- t::- } j ~ <br />,_, ,< .) <br />(Zip) <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br /> <br />8. <br /> <br />Preser1t Use of Property: I;'':::, <br />P>'0poSed Use of P:"ope.z:ty: <,' L ;: <br /> <br />9. Present Z.o.~ of ~,-y: rK.'~,[ -c, . <br />~ Zon.L.,q of Property: '~~~" <br /> <br />10. Present O:JIpre.hensive Plan ~i.gnatioo: <br />?L~ ~rener.s::.ve Plan I):!Sigoation: <br /> <br />11. il.l1at plan or charqe r.ake.s this .ct:!qUest necessary? __ <br />/"-'v'.6'" ,'$ N- <.... Z'>..' j;~- ,I ..D r p... ;.~~ p ;- ~ -,- y <br /> <br />l~. \Vhat is the ~--ted effect of the proposed change? (FOr exanple, 00 property <br />values, health, safety, p,u:k;~, traffic rorrlitio.'1S, etc.) <br />.;{'?-' /.'.~;-'C ~...,<::.J...,C &,y....../6.-r-- <br /> <br />---- <br />