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<br />CITY OF ROSEVILLE <br />2660 CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />/!n~ ~ '-19 {j - :2 J. "3 G, <br />Please check item or items for which you are apply~: <br /> <br />IUD <br />- Rezoning <br />~ Special Use Pennit <br />_ Vacation of Right-of-way <br />_ Preliminary arrl Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />_ Calq:)rehensive Plan Arne.rrlment <br />Division of Platt.e::1 lot <br />== Relocation of rMelli..n;r <br />_ Variance to Zon.in;T ordinance <br />Shoreline Pennit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />Please cwplete form by typi.ng or printirq in ink. If the spaces provided. are <br />insufficient, use additional sheet;s(1 kt?yi.ng infonnation to the proper item numbers: <br />J> . \l'\o~ \V;tf\'\\ft.~ L? <br />1. I~AaI-4 G-~~ 5;M.p<:,ol\! q9<1-013! <br />Name of owner: \ (First) (Mi. dle) (last) (Phone) <br /> <br />'3 (/ <7 () /11.-9 /... &7 It , ~~ 'I Cl v . (1t;> S" 4L ""1' r f~ J.zt fY> 1'''- <;)'i;j-ll.5 <br />Address of owner: (No. ~ and treet) (City) (State) (Zip) <br /> <br />1 - "-----I .~ <br />~r--:J-I'"-'/> '-L..P~."':::::J <br />(Nffi?8 of Applicant): (First) ~ <br /> <br />~ <i /..{ 'j- ./J'W H A- fV\... ( I 'y $... <br />(Address of Appl.) : (No. an:l street) <br /> <br />:;) 'is 4 ';) ~ /+~ ~ II ;;.. ~ <br />street Address of Property Involved.: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />CD <br /> <br />8. <br /> <br />@ <br /> <br />11. <br /> <br />12. <br /> <br />(Middle) <br />/,Ro S.t< u( (fr:.. <br />. (City) <br /> <br />(last) <br /> <br />(:thane) <br /> <br />M I IV/') <br />(state) <br /> <br />~s- ( 1.3 <br />(Zip) <br /> <br />Complete Legal D;scription of Property Involved: :I-:?J.- fi=" ;/{.-<; 7 ""'} 3 ( f;;:"~ .~. <br /> <br />~ ~ f/~~ ~:t,~i:~3~{ ~~~'-1~~3 <br /> <br />fI?-"" ~ D ~ ~ Y2 ...--- - ),.,. J.~" ~4':'L <br /> <br />Date Property Acquired: - <br /> <br />Present Use of Property: ~~ 9. Present Zoning of Property: D"3 <br />PrOIX'sed. Use of Property: /{(;:'"Ae.17 ',.MIPP.5/Jt( Proposed Zoning of PrG:>perty: f~3 <br /> <br />Present comprehensive Plan Designation: 'BUSI~"';;>S <br />Prqposed. COmprehensive Plan Designation: . <br /> <br />~lan or cl1an;Je makes this reques~ necessa:ty? ~"-$-';;;:; ~~ <br />I -1;;<<9 f"3 /71-<. ~ ~ -tP...""'1 r~ r; ~ <br /> <br />What is the expected ef~the proposed change? (For example, on property <br />values, health, safety,~~) traffic cor:rlitions, etc.) <br /> <br />~. \n~) <br />- ~(./ <br />i~L <br />I \) <br /> <br />r JrtJ '. r <br />p <br />