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<br />~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />Pleasc~ check item or items for which you are applying: <br /> <br /> PUD $750 Comprehensive Plan Amendment $750 <br /> Rezoning $300 Minor Subdivision $100 <br />K 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. <br /> <br />U-91~..v-t Gv~ ~Jf1, <br />Name of Owner: (First) (Middle) (Last) <br /> <br />(54(,e1 douJo- Av't/ ~ Qcon +--l-b J \---lJ..J. <br />Address of Owner: (No. And Street) (City) (State) <br />W~'-L-IA1t1 ~ DJ!-1 <br />Name of Applicant: (First) (Middle) <br /> <br />e6o..rv"'^v <br />Address of Appl.: (No. And Street) (City) <br />( q,o I Lt--,(.J <5-\-o~ hv'U J <br />Street Address of Property Involved: <br /> <br />(Zip) <br /> <br /><.05 '1- '14.3'\. <br />(Phone) <br /> <br />2. <br /> <br />.=$5 108, <br />(Zip) <br /> <br />3. <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />5. <br /> <br />(State) <br />. <br /> <br />(.?p ~ ~ v c.JJ2... u <br /> <br />6. Complete Legal Description of Property Involved: \ 6 z q 'Z.3~ I CXJ .30 <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />~I <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? <br /> <br />1 <br />