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2660 <br />Civic Center Drive <br />Roseville, <br />Minnesota 55113 <br />Please check item or items for which you are applying: <br />-.- R D <br />Rezoning <br />$750 <br />$300 <br />CcaTprehensive Plan Amendment $750 <br />--- <br />Special Use <br />Permit $200 <br />Division of Platted Lot <br />Relocation of Dwelling <br />$100' <br />$100 <br />Vacation of <br />Right-of-Way$200 <br />Variance to Zoning Ordinance <br />$200 <br />Preliminary <br />and Final Plat $500 <br />Shoreline Permit <br />$ 50` ' <br />Please ccuplete form by typing or printing in ink. If the spaces <br />insufficient, use additional sheets � <br />keying information <br />provided are.,..: <br />to the proper item <br />numbers: <br />1. <br />ame <br />scc'iT <br />CO\,4A(ZO NEEI..tzoi�j <br />2. <br />3. <br />4. <br />5. <br />6. <br />o <br />1®Z7 GW , C .P'0, <br />RnMej <br />ES Qc'SEy1uc ,-mN <br />one <br />Address of owner: (No. <br />and Street) <br />(City) <br />(State) (Zip) <br />Sc-o rT <br />E D E S Opt <br />Name of Applicant: (First) <br />(Middle) <br />(fit) (Phone) <br />102-1 <br />Co, <br />QD 6 e«Sk::yoL�_e <br />, r" dt3 <br />Address of Applicant: (No. <br />a*Xi Street) <br />(City) <br />(State) (Zip, <br />i©Z-7 ANO 1036 (vim (o P-® ��. Vl LLE- MN <br />Street Address of Property involved: <br />Complete Legal Description of Property Involved: SCE <br />:% � ;� f: r..i �✓ I —' ;.i-r.yi 11n - � r F ..t RAC V r0-f r' <br />r .1 r ,. t_ �'.�-� )i �••t, r� �. ��' _� �� h11 _�., � f. !'���. /�J ('1 y'�1 (r) J1i' - *` <br />8 . Present Use of Property: Eel 11)l'-WT (A �- 9. Present Zoning of Property: <br />Prcposed Use of Property: RCS Del A t, <br />Proposed Zoning of Property: <br />10. Present Comprehensive Plan Designation: Low Ch:N t TT+ j 2Ec-A f3 JT i Ak.- <br />Proposed Comprehensive Plan Designation: <br />11. Mmt plan or change makes this request ? E f-1'RHCtt p <br />12. What is the exp� e. <br />values health �� effect of the change? (For e-�r�le, on prep�„r-ty <br />, parking, traffic conditions, etc.) <br />