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���JLJ��� <br />� <br />COMMUNITY D�VELOPMENT <br />2660 Civic Center Drive •:• Roseville, MN SS l 13 <br />Plione: (651) 792-7005 •3 Fax: (65 I) 792-7070 <br />ZONYNG COMPLIANCE LETTER REQU�ST FORM <br />❑ BASIC FEE: $50 <br />(I�nsic fee slrould be made pnyable to Cif}� ojRosevi!/e rq�on strbnri►1a! ojcanple�ed a�plica�ion. <br />Addilraral fees of $SO/lror�r may ap�ly for lettei s►�eqiirring a�r u�trrsucrl m�io�u�t of researc/►.) <br />Please comp[ete the application by typing or printing in ink. Use additional paper if necessa�y. <br />1. Applicnnt Lifoi'[IlAtI011: <br />Cor�r�any ran►�te: � ),�/� � �-� (�pl�-� � j !� L (, C, <br />Last �ame.� 1� � k, �lo„n Fi�•st �7nnie: ��l�N <br />A�l�li�ess; %O�b ,�j�f ��ace Cily/Slate/Zi�: _��{�f� � Y30/7 <br />Phofte �a�tf�tGe��: �� y- 7S� - 759� Fax. nc���rGer: __ 61 y' 65d ��lo y3 <br />Eli1C71I QClC�)�ess: ��.���k�an a� �tCI��L�C'��i <br />2. Requested Inforntatiou: Use the space below to specify the information to be provided by the City, <br />or attach a letter idei�tifying the desiced information. <br />Sce �,�G,t� le �r . <br />3. Addressee and Recipient: Please peovide the nanies and addresses of the person/company to �vhom <br />the zoning co►npliance letter shou[d be addressed (tite Addressee) and fhe persot�/company to whom <br />the completed fetter sliould be sent (the Recipieiit). <br />Adcli•essee; <br />�1� i � /G /_. <br />/ /• • <br />., <br />1 �, t � <br />�.. , !� , n�i t' <br />. , . -.•., �. � � � . . . ._ � � � <br />- �. <br />4. SigIliltUi�e: By signing below you ackiiow[edge that you understand tlie City's fee structuce 1nd that, <br />if possible, lettecs �vill be remitted by the City iti a time y fasliioii. <br />Applic�mt srgnalru•e: 1/ - Dnte: 5�13' 0� <br />Please allow up io 10 days for the preparation of the requested Zoning Compliance Letter. <br />.�. .�. <br />�GO H� <br />