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<br />~~ <br /> <br />)<j11 <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />Please check item or items for which you are applying: <br />xxx: SITE PLAN APPLICATION <br />- PUD $750 Comprehensive Plan Amendment $750 <br />Rezoning $300 Division of Platted Lot S 1 00 <br />Conditional Use Permit $200 Relocation of Dwelling $100 <br />Vacation of Right-of-Way $200 Variance to Zoning Ordinance $200 <br />Preliminary & Final Plat $500 Shoreline Permit $ 50 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. ~i~y n~ VnaA~;11A <br /> Name of Owner: (First) (1\1iddle) (Last) (Phone) <br />2. 2660 Civic Center Drive I Roseville 55113 <br /> Address of Owner: (1-/0. And Street) (City) (State) (Zip) <br />.., American Portable Telecom (APT) <br />.J. <br /> Name of Applicant: (First) (lY/iddle) (Last) (Phone) <br /> <br />4. <br /> <br />1701 E. 79th St. . Ste. 19 Bloomin2ton. KN 55425 <br />Address of App/.: (No. And Street) (City) (State) <br /> <br />(Zip) <br /> <br />5. 211'; D,.lp ~t:r~~t:1 ROfu~ville <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />See attached site sketch. <br /> <br />7. <br /> <br />Present Use of Property: fir~ ~f",.tion 8. <br />Proposed Use of Property: fire station <br /> <br />Present Zoning of Property: R-l <br />Proposed Zoning of Prop.: R-l <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />Residential <br /> <br />Residential <br /> <br />10. What plan or change makes this request necessary? Request to construct 40M <br />communication tower on the fire station property. <br /> <br />1 <br />