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<br />NEWPORT SRV eTR <br /> <br />FAX NO. 4581260 <br /> <br />P. 02 <br /> <br />MAR-17 -97 rlON 10: 37 <br /> <br />- <br /> <br />'_.--L'~=?!2~!~, <br /> <br />RI'SBVD:J.bE <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 />When applying for more than one approval, only one fee (the highest) is charged. Please <br />comJ~lete 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 />Rc,rYls~ ~ounly <br />Name of Owner: (First) (Middle) (Lasr) (Phone) <br /> <br />50 tAJc51 k~b"~ ~/vd,:5<!dr-J(O :5f,lk~n1N 551():J.. <br />Address o/Owner: (No. Street) (City) (State) (Zip) <br /> <br />N.orlncm :5~-ks .pPhr~ tOm,t.!&Jt- <br />Name of Applicant: (First) (Middle) (Last) <br /> <br />L/I'-( Ni~l/cll1l~ 1'IIf/~,_.j2Jf) 55QO/ <br />Address of Appl.: (No. And Street) (City) (State) <br /> <br />l~/It"'~Cl1.fear ~ ,so- k~/11- sf <br />. <br />Street Address of Property Involved: <br /> <br />i~ <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />PUD <br />Rezoning <br />Conditional Use Pennit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <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 />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />1. <br /> <br />-"'-"-"-'-' <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />6. Complete Legal Description of Property Involved: <br /> <br />7. <br /> <br />9. <br /> <br />10_ <br /> <br />..--....- <br /> <br />Present Use of Property: 'jq;~ob' <br />Proposed Use of Property: <br /> <br />8. <br /> <br />Present Zoning of Property: "R. \ <br />Proposed Zoning of Prop.: <br /> <br />P C h. Pi D.. .:z;-~Iu-~Md. <br />resent ompre enSlve an eSlgnatlon: __~..z.f. ._~ _ <br />Proposed Comprehensive Plan Designation: _._,__" ~._ <br /> <br />What plan or change makes this request necessary? _b~,,;~~ <br />1&. -Je, jJ/lKt'~ In:~ I/M~I );/t:t!Jd.a, <t~ ___ _ _._ <br /> <br />I <br /> <br />--'1' <br /> <br />---,''''-''''- <br />-.II!.~I"'J~\lJIL' . <br />