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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 />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 />(W <br />~ <br /> <br />o <br /> <br />(1) <br /> <br />@ <br /> <br />CD <br /> <br />(6~ <br />\J <br /> <br />(jj <br /> <br />o <br /> <br />'-,,-. <br /> <br />@ <br /> <br />~ ~~ Ct8JAI <br />Name of Owner: (First) (Middle) (Last) <br /> <br />~ r ~ ~ \)J. O~SSo & l,,\I'O · ~.mJI""f.. Mil". <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />'11'( ";)6e~ <br />(Phone) <br /> <br />~~II~ <br />(Zip) <br />tfJ>4"~~' <br />(Phone) <br /> <br />M~ilJLili ~~~ <br />Name of Applicant: (First) (Middle) <br /> <br />(jLSd>\I <br />(Last) <br /> <br />~E ps- ~ectyE <br />Address of Appl.: (No. And Street) (City) <br /> <br />J~'r W.OVVASSV BJJD. <br />Street Address of Property Involved: <br /> <br />Complete Legal Description of Property Involved: J-o I S I ~ <br />~~S '-\ l1 PA~k. <br /> <br />(State) <br /> <br />(Zip) <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />-S:E <br />SE <br /> <br />CD <br /> <br />Present Zoning of Property: E <br />Proposed Zoning of Prop.: -t:-.I- <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />LC> <br />LO <br /> <br />~W~/Vt>- C~ <br /> <br />What plan or change makes this request necessary? <br /> <br />I <br />