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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 />HOt.D "T;4 f4ME.s IN ~. <br />Name of Owner: (First) (Middle) (Last) <br /> <br />/1" .Box t.//~ N~E6T LIIKe MA/. <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />MENPO'T /I <br />Name of Applicant: (First) <br /> <br />4. <br /> <br />5. <br /> <br />y~~- 9o~s- <br />(Phone) <br /> <br />:;-SCJZS- <br />(Zip) <br /> <br />46 ~- ?tJs-S- <br />(Phone) <br /> <br />;/dME.s /Nc'. <br />(Middle) <br /> <br />h;~E.s7 <br />(City) <br /> <br />(Last) <br /> <br />/'''Kc MN. <br />(State) <br /> <br />S6~2g- <br />(Zip) <br /> <br />{lOt 80;<' 4/0 <br /> <br />Address of Appl.: (No. And Street) <br /> <br />210/ I 2~()3 <br /> <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: L ~ r 7 <br />~t.(J~.I( .1 ~.t..IE K/~.!/T j, LI~P AotNT/oK} <br /> <br />g,REN"'~ CPr. <br /> <br />7. <br /> <br />8. <br /> <br />Present Zoning of Property: f< z <br />Proposed Zoning of Prop.: R Z <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />R2. <br />-R.b... <br /> <br />Low 'Db7J.5,T'I RE6ID~/AL <br />.:sA~E" <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? <br /> <br />1 <br />