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r-41z, <br />F.� <br />CITY OF ROSEVME <br />2660 Civic Center Dr 5313 <br />Roseville, Minnescrta <br />Please check item or items for which you are applying: <br />_ C uVrehensive Plan �t <br />Division of Platted Lot <br />Relocation of Dwelling <br />Variance to Zoning prdirjance <br />Shoreline Permit <br />PUD $750 <br />Rezoning $300 <br />$200 <br />,X Special Use Permit <br />j*FpVacation of Right -of -]ay $200 <br />and Final Plat $500 <br />PreliminarY <br />If the space-- provided <br />Please ccuplete form by typingor printing zn Ink- <br />orn�ation to the proper item nwnbe <br />i �'►s�fficient, use additional sheet, keying <br />fr4n� n.,A-991 <br />1. <br />2. <br />Name of Owner: <br />Address of Owner: <br />(First) <br />(Middle) (fit) <br />Iron 1'1; ri n <br />- r (No. and Street) (City) (State) <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br />are <br />(phone) <br />ip) <br />mhnnPl <br />3. Same as above (last) A. --,I <br />Name of Applicant: (First),(Middle) <br />a e s above (State) (Zip) <br />4. <br />Address of Applicant:(No. and Street) (City) <br />1 in d Co Rd. B <br />5. <br />Street Address of Property <br />Involved: <br />S tY► 185_�et of the west <br />6. CompleteThal Description of Property I.rTIolved : ;�a�_- <br />'7. <br />8. Present Use of Property:. Er T' r ;t f ; nn9. <br />proposed Use of property:i i t n r P <br />rehensive Plan Designation: <br />10 . Present Comp 1 ..._--- — <br />proposed comprehensive Plan Designertion : -----=� <br />11. What plan or charge makes <br />this request necessary? Ad �' ; 11 <br />n71 t Q l�tl ild i n � . <br />Date Prperty Acquired: <br />Present zoning of property: <br />proposed Zoning of Property: <br />mange? (For ale, on property <br />12. What is the expected effect of the proposed <br />etc.) <br />values, health, safety, parking, traffic conditions► ; � <br />