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--:. <br />� <br />�J� <br />��.- <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 ❖ Fatc: (651) 792-7070 <br />D��� - <br />� ��P � 200� <br />PLANNED UNIT DEVELOPMENT AMENDMENT APPLICATION <br />CITY CODE SECTION 1008.10 <br />www.ci.roseville.mn.us <br />❑ APPLICATION FEE: $400 <br />0 ESCROW DEPOSIT: $2,000 <br />(App/ication fee and escrow deposit should be made payable to City of Roseville upon submittal of completed application. <br />Escrow funds will be drawn to cover project-related costs. Additionol funds may be reguired,• surplus funds wil! be returned.) <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: <br />Comparry name: <br />L C � <br />Last name: /'� Z First name: %� �/� <br />Address: � C. i�' /� City/State/Zip: ��,LV-/ c. c c:{ , G'►�Ca ✓' /� <br />Phone number:%,[% �� �� %�Z v Email address: �'!9 ��r L�r�- �� �f? Cel �1`� "�'t �`` I. <br />� <br />2. Applicant Information: ('f different from above) <br />3. <br />4. <br />� <br />Comparry name: <br />—/V/ GiS i�Z,- <br />Last name: ��c'i'2%�%��T�r✓ <br />� <br />First name: %� ,�c/ <br />Address: �r'� �c� �'v .�� �' � T ��'��' City/State/Zip: ��1 �,v,�vc�+�/� ol �'f'L^� S S 7/� � <br />Phone number.{�,%Z J��j� �-��/ T% Email address: �l'�L � C'/'� �r��� /��iZ,1 <>�-�„ <br />� ��'v•-� <br />Address(es) of Property Involved: (if di,f�`'erent from above) <br />��2 S� � �N c'� ��i v,�' i i�t: <br />Name of Ezisting PUD: ��Z: L L �� �t�% <br />� <br />Comprehensive Plan Designation: _ <br />6. Statement of Intent: Briefly describe the proposed PUD amendment and indicate whether the <br />amendment will reyuire additional applications (e.g., easement vacation, plat, etc.). <br />�f7�i�'t ��.,7�„J Uj� l2 [i� iz i u,�-- �r�, a v�v�v <br />_�-���z c'►,.� � � �'� �✓ r" � �g T) ;� .%✓ �'s�(7��z��'r��` �-� >� <br />� �C' ��` ,' %s-h �z�7' — <br />PUD Amendment Applicarion Page 1 of 2 <br />f� <br />