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<br /> <br />. 1 <br />fA' 7/;:;110 <br /> <br />ITY Of ROSEVI~~E <br />266 Civic Ce~ter SY~ve <br />rtosev ~le, ~innEsct3 55::3 <br /> <br />P~€ase c!"_ec!-\. i te!!1 0:::- i ~ems :cr <br />.AS~Li~t. ~\~A.NCE <br />Rezoning <br />-- Spe~ial Use Permit <br />Vacation or Right-of-Way <br />Preli~inary and Final Plat <br /> <br />are applyiD.';;: <br /> <br />WDlC:l y"'01.A <br /> <br />SlOG <br />SlOe <br />$100 <br />$l~C <br /> <br />D~vision of Fla~ted Lot <br />Relocation or Dwelling <br />Varia~ce to Zonin~ Ordinance <br />l'1incr Var iance <br /> <br />;50 <br />$50 <br />$50 <br />525 <br /> <br />Please campl~~e form by typing or pr~nting In ink. If the spa~es proviaed <br />are insufficient, use ~dditional sheets, keying information ~o the proper <br />item numbers: <br /> <br />1. <br /> <br />{.v~-if-:.:-~ k: V6r~/ <br />N~T:e of OWney: (Fi~3~) (~idd~e) (Last: <br />~~ ' -, ,""; / .J!-~ _ // ...-;. <br />\...._ U' ~ <: cD _ .' /I/Q... II':::::::' f:-.:.' U /f'C j~1 A./ ;;- C //' :;i. <br />(No, anci'5tt"eet) " (;:ity) (Statej (Zip) <br /> <br /><-Lf' '/- /t- ~ <) <br />(Phone) <br /> <br />-=:t.Y (j:- / ts- .;- <br />{Phone) <br /> <br />2. <br /> <br /> <br />3. <br /> <br />", II., 1if /'-: I " <br />h... 11 . I~, /<-' l.... Jq/): <br />i\ -. ._.~+- """\ ... ~ <br />Name of .....DD1.lCan't.: \r.lrs....) (l.il d-"-e, ,....as....) <br />- . ' <br />~. ,;~ ! d --"7) . /j <br />~ '1< (: L('. (j) i<-- A, 5' SC i) /L- .'1.:~ Se t ///e <br />Address at Arplican~; (No. and St~ee~) (City) <br />r. __ /"' , ~.,. / / -;p ;'/ <br />2-2::> ? ).(L' (LL/> /} S-y.~ /0' Q I.J c' S c:. ,> -' Ie <br />Street Address of Property Involvea: <br /> <br />~1 <br />/}/ .(. $ ~1//3 <br /> <br />4. <br /> <br />/)/.Ij/ ..s-~ #3 <br />(Statf!) (Zip) <br /> <br />5. <br /> <br />o. <br /> <br />Ccjmpljete L~gal Desc~ion of Fropefty" Invclved: <br />i-' A-j! .e- L",/u,:..JC1 S, <;; _) r,,:< J!. k. j,J'-1 j' :, - ~ ~~..... <br />1 ' ~ <br /> <br />, . <br /> <br />Date ?rop~rt:y Acqui:-ed: /.,,/'.:;- <br />l <br />Pr-esent. Use cf Pr-aperty: }I(/-'./}? ~. Frcp.~sed. ::se of Pl-ope:r-:-f: :571//) ~ <br /> <br />8_ <br /> <br />~ . <br /> <br />Zoning <br /> <br />"'C) <br />of ?ro~ertv1SC=S/J."".r{ -/ '~.:.=o::;ed <br />.. - ..... ,.,~.... <br /> <br />--- <br /> <br />.....$:: <br />~.L <br /> <br />Zoning <br /> <br />Pro~er~y: <br /> <br />Present <br /> <br />10, <br /> <br />\-ihat plan O~ <br />r~'iZ~:..~.'" . '...? ~ <br /> <br />:iecessary? <br />~.).k-~ I ,,{" u <br /> <br />"""V <br />/ <br /> <br />chang.e <br />or:. // <br />I , , <br />, . .' <br /> <br />ma~es t~lS request <br />/\:...:~ .~ 1.." .....(J <br /> <br />ll. What lS the expect2c eifec: af the prcpased change? (For exampl~, on <br />proper~y ':alues .1ealth, safety" pG}kir:-;:;, <'::-'1ffic conditio:-,s, etc.) <br />'----;. I' -' . _ \j t. J .. / ' ,"", f _ -. ", / ", . V ,.; ~ ... -- '" ,,<~ ~I ~,p <br />~j""'",--' "--'..-".'.1 . I-Y"''r~'' ~:'-Ir _)~.../.:...,.- L../j..../'- '.~-........"-:-.-'_"-:::..~- CL~"""~-"--. <br />l-J..t>,}1 ~ I Lt .......-..:...:..::i ~ J ,'\'"-:t:. ~'.I/(, I I.'~i ....: i-' ,..../1. .Lc~/ "'{.....,., ft-:~-i''''''~ <br />',. 1 '.. " - - , ~ " I~ _J 'c' _.- <br />~, '10 "-, c--~','-__ i:-.)I\.... <to J1 N ',:-".'" 1-. .., ~-- '--_ I ,'j--' ':'V i ~,",._c". ~~('U -' ~ <br />""t' H'''L~(& l...,,~ / ,~-:L j/....... ..."_-r; <br /> <br />