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� <br />1�� <br />� <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 :• Fax: (651) 792-7070 <br />THREE PARCEL MINOR SUBDIVISION APPLICATION <br />COMMON WALL DUPLEX SUBDIVISION APPLICATION <br />CITY CODE SECTION 1 104.04 <br />www.ci.rosevil le.mn.us <br />❑ APPLICATION FEE: $500 <br />❑ ESCROW DEPOSIT: $1,500 <br />Application fee and escrotiv deposit should be made payable to Citv of Rosc:nille upon submitta/ of completed application. <br />Escro�l� f�nds ivill be d�•awn to coverproject-related costs. Additiona/ funds may he �-egui��ed; surplus funds wi/l be retui�ned. <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: <br />Company name: 'l1 �'%'�-� <br />Lust nume: <br />(.�- <br />� L �. <br />First name: <br />Address: �g`1�iC� �-<-y'�+�'�`'��-� City/Stute/Zip: <br />Phone number: �� ��1 � S �R�� Email address: <br />2. Applicant Information: (ifdifferent.from above) <br />Company name: <br />Last name: <br />Address: <br />Phone number: <br />First name: <br />Ci ry/State/Zip: <br />Email address: <br />3. Address(es) of Property Involved: (if different from ubove) <br />_�L`��� 3 �4 (. 3 � � � j-� `,� .: ��.�, �� � <br />4. Zoning Designation: � � '- � <br />5. Comprehensive Plan Designation: <br />6. Type of Application Requested: <br />�, Three Purcel Minor Subdivision (creating up to three new parcels) <br />❑ Common Wall Duplex Subdivision (dividing a property along the common wall of the duplex) <br />7. Stateme t of Intent: Briefly describe the gen�ral nature of the proposed subdivision. <br />,; <br />_ l � i G� � � � �c%--f� � �:� J <br />Three Parcel Minor Subdivision/Common Wall Duplex Subdivision Application Page 1 of 2 <br />