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<br />~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <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 />1. <br /> <br />Please check item or items for which you are applying: <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 nwnbers: <br /> <br />&~"NA- Q . <br /> <br />Name of Owner: (First) <br /> <br />2. <br /> <br />RSUP11f <br />(Last) <br /> <br />/f),/lwooD /k", ~s<v.j(~ //}"/. <br /> <br />(City) (State) (Zip) <br /> <br />lJ/"')M-,,;- i:.< ~/"-/,.,..1Z"''''11 8~ <br />(Middle) (Last) (Phone) 0 <br />""1.- Z-ify-o, 01 <br />/1 <br />THRNI{ You '~'tI.I 5S7 0 f <br />(Zip) <br /> <br />1-;;3 <br /> <br />Comprehensive Plan Amendment <br />-X- 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 />(Middle) <br /> <br />(Phone) <br /> <br />5S'ff3 <br /> <br />Address of Owner: (No. And Street) <br /> <br />fi:.~r ~l(~" A"5 ~"5~JJ <br />Name of Applicant: (First) <br /> <br />33 z jJJr~JJ <br />Address of Appl.: <br /> <br />3. <br /> <br />4. <br /> <br />5. tJ~'3 /11,1 <br />Street Address of P <br /> <br />6. <br /> <br />Complete Legal D <br />/' <"7"'" . <br />6"t"' I, -+1-( <br /> <br />7. <br /> <br />Present Use ofPj <br />Proposed Use of <br /> <br />9. <br /> <br />Present Compre1 <br />Proposed Comp <br /> <br />10. <br /> <br />What plan or c1 <br />e9...~ r,~ 7 I <br /> <br />CITY OF R <br />CITy OSEVILLE <br />2660 8fvf8SEV1LlE <br />ROSEVlLLE, #:1!f1g~If(C <br />~ I" "---,\ <br /> <br /> <br />I a <br />~ ",.i ....."jl~~."" <br />l:~lV~i Fr I' l' ", j~IIIIH"... <br /> <br />~UJt2~~) lit!. StlBDIV. <br /> <br />e/"k COde: RECPT \00014556 .J fJftI <br />~'!~~_~~~ERENCE <br /> <br />CDfl/DV ----------------_______ f:lMDuNT <br /> <br />Jgc RPPUCRTION --------- <br /> <br /> <br />)Dtal: <br /> <br />Check <br /> <br />Char,ge: <br /> <br />f"'O <br /> <br />~,~f,~-< ) <br /> <br /> <br />Ig of Property: I< - , <br />!ling of Prop.: ~ - I <br /> <br />II/S;~,j - dd'''f h <br /> <br />THANK YOU <br /> <br />.00 <br />______~~i{). (Ju <br />lOO.OO <br /> <br />______!~)~~~j:i <br />.00 <br />