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<br />~ <br /> <br />2660 CIVIC CENTER DRIVE I ~ <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 />~ Condi~ional Use Permit <br />Vacation of Right-of-Way <br />Preliminary & Final Ph.t <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 />. <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 />q SI-qqq I <br /> <br />1. ~O~~ J~. ~yr."'tJ~ G,arIi..~+ Ok .""'lIll-tlUs 4pPticJ1~ <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />;110. <br /> <br />i60-0Ig,! <br />(Middle) <br />--11ljlf A lit. Ui~ ()Y. , Rosw'll(, I MN 5~ 1/3 <br />Address of Appl.: (No. And Street) (Cit)~ (State) (Zip) <br />I <br /> <br /> <br />) f(os,wi'~ I p.A/ 551/3 <br /> <br />;1.055 Niu S+. ,Rowi"~ I <br />Address of Owner: (No. And Street) <br /> <br />\Ta~ A. Nt,lsofltt <br />Name of Applicant: (First) <br /> <br />),tAl <br />(City) <br /> <br />5<5113 <br />(State) <br /> <br />(Zip) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />5. <br /> <br />~ ;. , 5 $l1t,l/ i~ A~. .N. <br />Street Address of Property, /, olved: <br /> <br />Complete Legal Description of Property Involved: Sec:f.iClk cr lOw" ~ RctrI~ -Z.J <br />.N go f4. of E nt 0 '3 f+ << Sf of, .f SE.. -'IJ .F s E: ~ is "'U "'6 <br />hwy ... ~UM1-) -rAJ <br /> <br />Present Use ofProperty:~t 8. <br />Proposed Use of Property: rcsi4.c.w.J- of' <br />.~ Ct ,p4CJ.., <br />Present Comprehensive Plan Designation: 8 <br />Proposed Comprehensive Plan Designation: B <br /> <br />6. <br /> <br />7. <br /> <br />9. <br /> <br />Present Zoning of Property: n <br />proposedZ~ofProp.: 8~ .~ <br />.+ltl1tal US(. ... ....if <br /> <br />What plan or change makes this request necessary? <br />J <br /> <br />~ ~ -#v. prOfl~ .f'~ d COlAu.HIo.KrL- +.t,( ~tJMr",.d-. <br /> <br />1 <br />