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j�� <br />�� <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive :• Roseville, MN 551 13 <br />Phone:(651)792-7005 : Fax:(651)792-7070 <br />Q f� � L� � IJ L� <br />� SEP 0 9 2010 <br />PLANNED UNIT DEVELOPMENT AMENDMENT APPL[CATION <br />CI'rY CoD� SI:C"rloN 1008.10 <br />www.ci.roseville.mn.us <br />❑ APPLICATION FEE: $400 <br />❑ ESCROW DEPOSIT: $2,000 <br />.9pplication fee and escrow deposit should be made payab/e to (,ity of Roseville upon submitta! qf completed app/ication. <br />Escro�v fi�nds will be drmvn �n cover pr•oject-re/ated costs. Additiona/ ft�nds muy be r•eqt�ired; strrp/t�s,ftrnds wi!! be i•ettu�ned. <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Pro�erty Owner Information: <br />Company name: Sc,NA p� L C � E J E L D Q H EN � L� C <br />Last name: Sc� A a+� G� Firsl name: J> A,.� r� L <br />Address: a�,� �S��dc�oo�,v� ��c City/State/Zip: �o�,.� ST- oAN�� �-'►.0 -�So�S <br />Phone number: �5+ - .�9�- 9933 Email address: a(s�l� ��tl� .,Q � .��.i, ade 4a - ..� � c-/, . <br />✓ t o ,•�, <br />2. Applicant Information: ('rf different from above) <br />Company name: <br />Last name: <br />Address: <br />Phone number: <br />First name: <br />City/State/Zip: <br />Email address: <br />3. Address(es) of Property Involved: (ifdifferent,from above) <br />��9b -�9.� o �_ E� � ac Po,,tiTc d� <br />4. Name of Existing PUD: (. �N� � E Po i.�T . <br />5. Comprehensive Plan Designation: /Su s �� �s��A�K <br />6. Statement of Intent: Briefly describe the proposed PUD amendment and indicate whether the <br />amendment will require additional applications (e.g., easement vacation, plat, etc.). <br />l�Ev�s�oJ n� �rw2�EN� PNA �}LZ.U[,.�E l� c.ISE� Tv <br />-` � ' ' 'i. ' [ : <br />PUD Amendment Application Page I of 2 <br />