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my OF FOSEVILU3 <br />2660 Civic Center ❑ncive <br />Roseville. M hmesota 55113 <br />Please check item or items for which you are applyirnj: <br />/893 <br />pUD <br />$750 <br />Comprehensive Plan Amendment <br />$i50 <br />Rezoning <br />$300 <br />Division of Platted Lot <br />$100 <br />Special Use Permit <br />$200 <br />Relocation of Dwelling <br />$100 <br />$200 <br />Vacation of Right -of -May <br />$200 <br />Variance to Zoning Ordi -e <br />$ 50 <br />Preliminary and Final Plat <br />$500 <br />..� Shoreline Permit <br />Please omplete foam by typing <br />or printing in ink. If the spaces provided <br />ii: mmters: <br />are <br />insufficient, use additional sheets, .kVirrg <br />information to the proper em <br />1. <br />2. <br />3. <br />441. <br />5. <br />Name of Owner: <br />(Middle) <br />Address of Owner: (No. and Street) (City) <br />(Last) (Phone) <br />(State) (Zip) <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />Address of Applicant:(No. and Street) (City) (State) (Zip) <br />Street Address of Property Involved: <br />6. Complete Legal Description of Property Involved: _ <br />7. <br />EF <br />Present Use of Property: 9. Present Zoning of Property: <br />Proposed Use of • <br />10. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />11. What plan or change makes t ,..i.s request necessary? -- <br />12. What is <br />the expected <br />effect of <br />the proposed change? (For example, on property <br />values, <br />health, <br />safety, parking, <br />traffic conditions, etc.) <br />