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<br />0- .rqr'.lo;..1~'?7 2::-?p'.1 _C"'v r:r ~VII.I.J:" <br /> <br />N('\, 114 ~. ~ /0:; <br />-.--- -- - <br /> <br /> <br />:Z660CIVIC CENTER DRIVE <br />ROSEVllLE. MI~ESOT A 55113 PHONE: 490-%%79 r AX: 490-2931 <br /> <br />Please check it(~m or itenu for which you II'~ applying: <br /> <br /> PUD 5750 Comprehensive Plan Amendment $7SU <br /> Rezoning $300 Minor Subdivision S10U <br />....L Conditi.)nal Use Permit $200 Relocation of Dwelling 5100 <br /> Vacation of Right-of-Way 5200 .JL Variance to Zoning Ordinance 5201) <br /> Preliminary & Final Plat SSOO - ShQreline Permit sse <br /> <br />When applying for mort than one approval, only one fee (the highest) is charged, Please <br />~ompJete rom\ by tYl'ing or pTintin~ in ink. lfthe spaces provided are insufficient, U5C additio 1al <br />sbeeti. keyin~ i,nfonn~tion to the proper iten, numbers: <br /> <br />1. ~e.t\j t')\~ (~c5') ~~2- 9\21 <br />Namt of' Owncr (First) (Middlt) (lAst) (Phone) <br /> <br />2. 3~~ ?I~ CO~ ~t-Ju€" ~~~"'\ '50. 51~_ <br />Add1'C'ss (~f Ow~el' (No, And Street) (City) (State) (Zip) <br />(5IZ~~C1j-2~2(P <br />3. ~~ .~~~C-~O~ ~ ~~c. . Mr. c..1o)t.)\,f. D. ~,.,.~~ e>c+, I~\ <br />Name (~fA.pp/lc(mt. (First) fMiddlej (Lalt) (fha'tt) <br /> <br />4. ~o5c A~""~N- ~ ~~~t0J-rx. ]g~2B <br />Addres,f of Appl. ' (No. A"d Street) (City) (Stat,) (Zip) <br /> <br />5 2'56J Mort\-\ ~~I\\N~ ~O~\1\\\f'-\ M~ '5S1\~ <br />Stre~t Address of Prop'rt}' Jl'Ivo/v,d: <br /> <br />6 Complete I..eial Description ofPropcrty Involved: ifl!.<:~ ..::.1-. (."... ( C /, / <br /> <br />- <br /> <br />-.......- <br /> <br />7. <br /> <br />, <br /> <br />Prcsen1 e se of Property: ~ r ~ .. . Co L.. ~ 8, Present 1.onina of Propertv: J} ..::.~ '\ <br />Proposed Use of Property: B..~ ~ Proposed Zoning of Prop,-v' 13-"2- <br /> <br />Present Comprehensive Plan Dosipation: ...;.-~ t.: IS.. - I , ,C ~ <br />Proposed Comprehensive Plan Desisnation' _ J2ent11 II...;.} ~ ( .~ <br /> <br />9, <br /> <br />10. <br /> <br />What J:.1~1 or charlie makes this request necessary? <br /> <br />...- <br /> <br />20/20 'd <br /> <br />GvvS-698-21S 'ON X~j <br /> <br />dnOHD NDIS3G/33H8W3 Wd Ov:vO 3nl L6-12-N~r <br />