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<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 />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 />..L 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 />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 />j)a~ ,'(. I ~ 0 h~, IJes+/wJ <br /> <br />" <br />Name of Owner: (First) (Middle) (Last) <br /> <br />1. <br /> <br />2. <br /> <br />3tJ <it'D N 4, "fAt rt" t evJ <br />Address of Owner: (No. And Street) <br /> <br />? frYI/\ IS <br /> <br />, 33 - ~C]~~ <br /> <br />(Phone) <br /> <br />~Sev\L-L~ <br />(City) <br /> <br />'''I tJ . <br />(State) <br /> <br />~>) 13 <br />(Zip) , <br /> <br />3. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />~fUvt~ <br />Address of Appl.: (No. And Street) <br /> <br />30'1 ~ N. rA-'1 'fll! \ evJ <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: ~t3t::3: i ~flL PA-~'€ <br /> <br />4. <br /> <br />5. <br /> <br />(City) (State) (Zip) <br /> <br />JQ>5eViL-LG MN. S5J13 <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 />9. <br /> <br />Present Comprehensive Plan Designation: Lollo-' 'hP'N!7~J <br />Proposed Comprehensive Plan Designation: L.OvJ bf!:JVSI'f\.\ <br /> <br />~ /00'/\1 Ar- <br />Q. <!s j '):) a-11T1 ~ <br /> <br />10. What plan or change makes this request necessary? <br /> <br />1 <br />