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a <br />CM OF ROS` VI <br />2660 Civic Center Drive <br />pzSeville, Minnesota 55113 <br />Please check item or items for which Ycy�l are applYi g. <br />rehensive Plan Ant <br />P$750 <br />JD <br />$300 <br />Rezoning $200 <br />-.- special Use Permit $200 <br />Vacation of Right -Of --'Ray <br />1 t $500 <br />Cc�p <br />. Division of Platted �t <br />Relocation of Dwellingdina <br />Variance to Zoning Ornce <br />Shoreline pit <br />$750 <br />$100; <br />$100; <br />$200 <br />$ 50 <br />u-,,ary prel=and Firsal P a <br />in ink. <br />If the spas Provided <br />fete fozm by types or printing item numbers: <br />Please �Pdd_tional sheets, keys formation to the P JJ <br />insuf f icient ► use a j "7 C� ' 7 L <br />r. � d C' 1_ f'" �,- ones <br />0 <br />L �` (state) (Zip) <br />2..` city) <br />Address of Owner: (No. arxi Street) <br />3. First) (Middle) <br />(fit) <br />Name Of Applicant: <br />- (State) (Zip) <br />4. Act of Applicant: (Ilo. and Street) (City) <br />i <br />5o Address of ProPP-.rtY solved: <br />Street <br />6. <br />te Iegal DeslriPti°n of f�opertY Involves: <br />„omple <br />7 . DL to property Acquired:9. present Zoning of Pro t' <br />8. Present Use of Property: proposed Zoning of Property <br />proposed Jise of Property <br />u� <br />rehensive Plan Designation: <br />proposed � <br />10. present C rehensive Plan Designation: <br />11. ynI,at plan or change makes <br />this request necessary'• <br />ct��n e? (For exarple► on <br />the exPectedeffect of the Pam' <br />12. values, ► health ► per}ting, traffic corxiitions, etc.) <br />