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<br />~SEWmE <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 /> <br />...L <br /> <br />PUD <br />Rezoning <br />Conditional Use Permit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />q~Q) = <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Division of Platted Lot <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 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 />2. <br /> <br />.., <br />.J. <br /> <br />4. <br /> <br />5. <br /> <br />7. <br /> <br />1. <br /> <br />51. ~v L <br />Name of Owner: <br /> <br />V'T I )..,.,> <br />(Middle) <br /> <br />d..~' - ~:< ~ 5 <br />(Last) (Phone) <br /> <br />8 FOURTH.5.1. /E,.ItsT - SU'TIE 1./00 I 5-;: ?AVl, /""\IV .5510 I <br />Address of Owner: (No. And Street) (City) (State) F~ _ ~~_ <br /> <br />AM.G.R I~N P"RrJ"\BLE -rc.JJ;.co,-. / (p~E.R J..k1/^J)AJ!l) 8SB -0/0 Jf <br />, <br /> <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br /> <br />BJ..c:o-wc:;T~ /",N SS l..J~S <br />, <br /> <br />(City) (State) (Zip) <br /> <br />R 05>6vlJ..1-1i r'\./\/ <br />.. <br /> <br />8. <br /> <br />Present Zoning of Property: 'RES <br />Proposed Zoning of Prop.: RES <br /> <br />9. Present Comprehensive Plan Designation: \,J'A-JE.f< WoRkS <br />Proposed Comprehensive Plan Designation: '\. /'A-.'TE.R LvG>R.K<; <br /> <br />10. What plan or change makes this request necessary? rko?o~.D C-arV5.7Rve:;.,I~,v <br />Or A 'v./IRCJ...E5~ CC)__,....v~/t:.ATI~.AJ~ rPK:-/J.... FrY, <br /> <br />'vVA-"-~ <br />(First) <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />(J1"1L. rT'f <br />Lrnl-lTY <br /> <br />17nJ IE. 79~'" 57. 5ulIf. .R <br />.}- , <br />Address of Appl.: (No. And Street) <br /> <br />J 90' ALT-'\ VIST4 UR,VC J <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: SEe A7T~.EJ) <br /> <br />t. . I' <br />E.XJ.l.I8JI A <br /> <br />1 <br />