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<br />J-. <br />j <br /> <br />, <br /> <br />~~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FA..X: 490-2931 <br /> <br />Please check item or items for which you are applying: <br /> <br />POO <br />Rezoning <br />Conditional Use Permit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 Comprehensive Plan Amendment <br />$300( . ..'-) Minor Subdivision <br />$200 Relocation of Dwelling <br />$200 Variance to Zoning Ordinance <br />$500 Interim Use Permit <br /> <br />$750 <br />S]OO <br />SIOO <br />S200 <br />$200 <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 />, --... <br />b' <br /> <br />G'" <br /> <br />(j) <br /> <br />( ~~/ <br /> <br />(~ <br /> <br />(6~ <br /> <br />.-' <br /> <br />G <br /> <br />/~- <br /> <br />( 9./ <br />.~ <br /> <br />Thomas M. wi11mus 633-5701 <br />lVame of Owner: (First) (Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2021 W. Co. Rd. B2 / P.o. Box 130850 Roseville. MN 55113 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />Same as above <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />Same as above <br />Address of Appl.: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />2480 N. Cleveland ~ 2500 N. Cleveland <br />Street Address of Property Involved: <br /> <br />Complete Legal Description of Property Involved: See attached item A. <br /> <br />Present Use of Property: B-3~-l <br />Proposed Use of Property: No Change <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />8. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />r-- <br />(1~: What plan or change makes this request necessary? See Ouestion # 11 <br /> <br />1 <br />