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� <br />,. <br />CITY OF ROSEVILT.F <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA �5113 <br />Please check item or it.�.ms for which you are applyirx3: <br />PUD $750 Canq�rehensive Plan Ameax�ment $750 <br />Rezoning $300 Division of Platted I.ot $100 <br />�_ Special Use Penni.t $200 Relacation of Dwelling $100 <br />Vacation of Right-of-Way $200 Variance to Zoning On�inance $200 <br />Preliminary and Final. Plat $500 Shoreline Permit $ 50 <br />Please ooa��lete form by typing or printing in ink. If the spaces provided are <br />insufficient, use ac�ii.tional sheets, k,eying infon�nation to the proper item rnnnb�rs: <br />1. GJe.�h Camna►�,i,e�5 <br />2. <br />3. <br />s� <br />• 5. <br />� <br />� <br />6. <br />7. <br />r;� <br />10. <br />Name of Owner: <br />) <br />) <br />(Last) <br />944-5&10 <br />� (Phone) <br />i 1200 we�� 7��h. S�ce�t �d2n Pna,i�r,i.e, MN 55344 <br />Address of Owner: (No. and Street) (City) (State) (Zip) <br />Thomcv5 N. T <br />(Name of Applic <br />0 <br />n d/b/a Tl2e,i�sen Vend,i.v�c� Cv <br />: (First) (Middle) <br />l� <br />MN 55409 <br />�27-�5�� <br />(Last) .(Phone) <br />(A�aaress of Appl.)_: (No. ana street) (city) (state) (zip) <br />1(a..�i� (U ('�,(�J�.�i/ Rnn,�j R9 <br />Street Address of Property I.nvolved: <br />Ccnnplete Lagal Description of Prop�rty Irivolved: � ee Fxh.i.��%.� "A" <br />�: — ' • � � ' �• =• � I � i i R I 1 � � � � � � � <br />Present Use of Property�honf�.iilg ce�tite�r9. Present Zoning of Prop�rty: s-� �.. <br />proposed Use of Property: Proposed Zoning of Property: � <br />p.�esent Ca�rehensive Plan Designation: alzap�u�J�,.a�1�en <br />Proposed Coi�rehensive Plan Designation: ►� �► <br />11. W�hat plan or ch�-u�ge makes this request n � <br />we w.ush �o e�5�a.b.�i,�h n�1 cunwse�nejtit ancade �u' 1u.�1���ca��naa a u�ev e <br />� t�nn�.j1� �e��en <br />12. What is the expected effect of the prop�,ed change? (For exan�le, on prope�ty <br />values, health, safety, par}cii�g, traffic c�ndi.tions, etc. ) <br />nu,�tiunct,� <br />