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CITY OF ROSEVILL E <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />FUD $750 <br />Rezoning $300 <br />Special Use Permit $200 <br />Vacation of Right--of-Way $200 <br />Fzelhr nary and Final Mat $500 <br />Couprehensive Plan Amendment $750 <br />Division of Platted Lot $100 <br />Relocation of Dwelling $100 <br />Variance to Zoning Ordinance $200 <br />Shoreline Permit $ 50 <br />Please om plete form by typing or printing in ink. If the spaces provided are <br />insufficient, use additional sheets, keying information to the proper item numbers: <br />1. <br />Fame o e one <br />2. 2 98 I Ez-tlO S1�`' ��e� / /� <br />Address of owner: (No. and Street) (City) (State) (Zip) <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. <br />Address of Applicant:(No. and Street) (City) (State) <br />5. <br />Street Address of Property Involved: <br />6. Complete Legal Description of Property InvolvEd: S - -7 P1 T ':�-0000 <br />7. Date Property Acquired: <br />8. Present Use of Property:'' S' , a T - 9. Present. Zoning of Property: <br />Proposed Use of Property: Proposed Zoning of Property: <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />11. What plan or change makes this request necessary? 4 G 7-_ - <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, parking, traffic cora.itions, etc.) <br />