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s <br />r• <br />7 Cn Y OF RCSLV= <br />Dive <br />2660 civic center <br />Rosevi.LIe, MiYvesota 5511.3 <br />Please check item or items for which y;ju are applying: <br />PtJD $750 Ccprehensive Plan Amt $750 <br />$300 Division of Platted Lot $100 <br />�onu Use Permit $200 Relocation of Dwelling $100 <br />ial VarAance to Zoning ordinance <br />Special <br />of Right -of -]ay $200 $ 50 <br />p��y and Final Plat $500 _ Shoreline Permit <br />Please complete fr,*am by typing <br />or printing in ink. If they spaces provided are <br />insufficient, use additional sheets, keying inf* mation to the proper item numbers: <br />1' v G A'pt (First) (Middle) (last) (Phone) <br />Name of owner: /X <br />(State) (Zip) <br />Address of Owner: (No. and street) (City)��/ <br />3 ) �� vi � (Last) <br />Name of Applicant: (First) <br />(Middle) <br />6 (State) (Zip) <br />Address of Applicant:(No. and Street) (City) ( <br />Street Address of y Invo1 ed. <br />Descript ion o Property Involved: <br />g � CoatPlto Legal <br />7. Date Property Acquired: <br />Present Use of Property' 5 9. Presexit Zoning of Property: <br />r _ proposed Use of Property: Proposed Zoning of property: 3 <br />10. Present Comprehensive Plan Designation: <br />proposed Comprehensive Plan Designation: _ 66 <br />s request necessary• <br />c �e- •ice w: i��%�`- a ,,.rv,e„- <br />11ha plan or�d, - r• makes t� -� r � . t ; .b e� •-�;, <br />Cj <br />What is the e�� e? For example, on property <br />effect of the proposed Chang ( <br />values, health, safety, king, tpffic conditions, etc.) <br />- f� � c�_ e•. a h a va <br />