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u <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />Please check item or items for which you are applying: <br />$750 <br />Comprehensive Plan Anent <br />$100 <br />$100 <br />PUD <br />Rezoning <br />$200 <br />Division of Platted Lot <br />X Relocation of Dwelling <br />$200 <br />Special Use Perini t <br />$200 <br />Variance to Zoning Ordinance <br />$250 <br />$ 50 <br />Vacation of Right -of -Way <br />Plat $500 <br />Shoreline Permit <br />Preliminary and Final <br />� �. If the spaces provided are <br />Please cCuPlete form by typing or <br />sheets, <br />keying information to the p Per <br />printing ro item numbers:insufficient, <br />use additional <br />6 31- 99 <br />1. DONALD V . ROBERTS <br />middle) (Last) <br />(Phone) <br />Name of Owner: (First) <br />2. 222 W. McCarr ns B1 <br />Roseville MN.(5 55113 <br />(City) <br />(Zip) <br />Address of Owner: ( No. and <br />Street) <br />3. same <br />of Applicant): (First) <br />(Middle) (fit) <br />(Phone) <br />(Name <br />4. (State) <br />Appl.): (No. and Street) (City) <br />(Address of <br />5• Involved: <br />Street Address of FropertY <br />.. 6 , Complete I, --gal �cr•iption of Prcperty <br />Involved: <br />7. <br />Date Property Acquired : 1960 <br />9. Frese..nt Zoning of P1-aper y: p <br />g , Presenuse ofProperty- Property: <br />proposed Zoning of Property: � <br />proposedUse <br />Res . <br />0. present Comprehensive Plan Designation: SJ F <br />Proposed Comprehensive Plan Designation: <br />request necessary? <br />11. What plan or change makes this <br />i i 4-ho qnl — � T �1ren, Cl P <br />change? (For example, on property <br />12. What is the P.xpected effect of tr.e proposed etc.) <br />values, health, safety, parking, traffic conditions, <br />