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lG" ✓" 0 <br />CITY OF ROSE'V 7 F <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check, item or items for which you are applying: <br />c� <br />PUD $ <br />750 �rehensive Plan Ame xtrent $750 <br />.� Rezoning $300 Division of Platted Lot $100 <br />Special Use Permit $200 Relocation of Dwelling $100 <br />Vacation of Right -of -Way $200 ,_ variance to Zoning Orziimnce $200 <br />Preliminary and Final Plat $500 Shoreline Permit $ 50 <br />Please ccoplete form by typing or printing in ink. If the spaces provided are <br />V) insufficient, use additional sheets keying information to the proper item <br />1. i�ot+W Q u � e Pffo <br />2. pc� of Owner: (No. and Street) (City) (State) (zip) <br />3. I�VOt,•- � <br />bast) � one) <br />Name of Applicant: (First) (Middle) ( Q� �:�- Z <br />4. Zi <br />Addr ss of Applicant: (No. and Street) (City) (State) ( P) <br />' Street Address of Prclperty Involved: s <br />0 <br />6. C Mlete LeT4 Description of Property Involved: <br />7. Date Property Acquired: <br />$. Present Use of Property: fyc n"d G'(�Gs�` c 9. Present Zoning 'of Propr: <br />Proposed <br />Use of property: /j & t` � Zoning of Property: <br />10. Present Cm rehen_sive Plan Designation: <br />proposed Ccnrprehensive Plan Designation: -- <br />11. What .an a makes this request nax� '' (yVCV-1711t, <br />p or ct ng _ �_ A� , .1 d .r z2Z-� -/ <br />�sVo On <br />�� %•'�'dl'i'r"?,/ <br />12. What i, the expected effect of the proposed change? (For example, on property <br />values, health / safe/try �pEarrkiM, traff./ic conditions, etc.) <br />.���7 N [J!'L��x�-- fir• �� ✓L'G-�'-.'� �lr Y�� ilk" .�. r yam-/ /i ,Jr <br />