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<br />2q44 <br /> <br />~ <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 />PUD <br />Y Rezoning <br />Conditional Use Permit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Permit <br /> <br />$750 <br />$100 <br />, $100 <br />$200 <br />$200 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br />1UQMS JA.. 'W IL.L.JIo\U~ <br />W 1 LLI'1I.t~ GO MP~I as <br />(First) (Middle) (Last) <br />Z.C"Z.I ~ a>VN1'1 IUAO &"2- <br />~ ". ~ I~S0S"'O Je.f>$e"U...(,,& J'W <br />Address of Owner: (No. And Street) (City) (State) <br />LJtr4l.'( t.tFH'IT <br />ow,o~ u.J~ u:>Mf>t'IcfV'1 <br />Name of Applicant: (First) (Middle) (Last) <br /> <br />1. <br /> <br />Name of Owner: <br /> <br />(Phone) <br /> <br />3. <br /> <br />5S"~ <br />(Zip) <br />~~~-t>46~ <br />~~~..g~(~ <br />(Phone) <br /> <br />2. <br /> <br />4. q~ S~.. ~e- $~0f1.I- .~U>r f'-\Rt.$, ~ ~4l>-z. <br />Address of Appl.: (No. And Street) (City) (State) (Zip) <br /> <br />5. SOu"f\fEAST ~c.NIP~ ~ c:.~ ~ ~u..J'r'1 ~ e.-~ <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />Sr!6" ~ r..J~\Ia <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~ <br />~ <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />1:- ( <br />e,-~ <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />e:, &USt~ <br />~ &~l~ <br /> <br />10. What plan or change makes this request necessary? <br /> <br />~~ ~ p... <br /> <br />Z&, 511.. s.~. 'f-r. ~(.... ~'lHVD,N6- <br /> <br />p(tJ 09'l9l~Z.30020 <br /> <br />1 <br /> <br />2,020 CD~ e,2. <br />