<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 />
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