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�..� .... <br />t�'��, <br />./�,., <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 ❖ Fax: (651) 792-7070 <br />MINOR SUBDIVISION APPLICATION <br />CITY CODE SECTION 1 104.04 <br />www.ci.roseville.mn.us <br />❑ APPLICATION FEE: $350 <br />p �C�C��dC� <br />(� JUN 1 0 2008 <br />(Fee should be made payable to Citv oJ�Roseville upon sa�bmittal of completed application.) <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner lnformation: <br />Company name: <br />Last name: � p�-� � First name: �b � V` c��;� 2 h h <br />Address: ���i c� �/U I� � S � � e� c.� �� �✓ Ciry/State/Zip: � os e V;� � 2; til +�1 � S 1� 3 <br />-� <br />Phone number: <br />EmaiJ address: <br />2. Applicant Information: (if different fr-om above) <br />Company name: <br />Last name: �- �'. � �, v� First name: l,7cL � i c�, 5!� ,`� �, p�^ vtq, J, <br />Address: L�'� �� %U �%� q(� K 5�' City/State/Zip: � 0 5� 1/ r r I�./`-i rl � 5 1�� <br />Phone number: (o�%— h/�'�—�h/,3, Email address: <br />3. Address(es) of Property Involved: (if different from above) <br />4. Zoning Designation: <br />5. Comprehensive Plan Designation: <br />6. Type of Application Requested: <br />❑ Three Parcel Minor Subdivision (creating up to three new parcels) <br />�. Lot Line Correction/Recombination (relocating a property line shared by two adjacent parcels) <br />7. Statement of Intent: Briefly describe the general nature of the properties to be created or modified <br />as a result of this minor subdivision application. <br />Minor Subdivision Application Page 1 of 2 <br />,� <br />