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<br />~sewmE <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 />Interim Use Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <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 />1. <br /> <br />--.- <br />I Am.'YI '1. <br />Name of Owner: (First) <br /> <br />A. <br />(Middle) <br /> <br />_Je..,... K-r/_ S <br />(Last) <br /> <br />({;fZ) 4bJ;" 288 ~ <br />(Phone) <br /> <br />tJ HoSt"-.." ,It I MN <br />(City) (State) <br /> <br />S51f ~ <br />(Zip) <br /> <br />-.J eN~#V ~ <br />(Last) <br /> <br />( c,t'L) 488 -288 G::, <br />(Phone) <br /> <br />2. <br /> <br />1?-1'f tI-4Ar-'WtI~T~ Sf-. <br />Address of Owner: (No. And Street) <br /> <br />~~v"(Ii-1 <br />(City) <br /> <br />. <br />V\i. <br /> <br />A1.tJ <br />(State) <br /> <br />~Sll ~ <br />(Zip) <br /> <br />~~v.. (I 1'. M N S"~II ~ <br /> <br />'t <br />" <br /> <br />c.:s E-to /It ~c. rU_ 0 <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />---- <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />B~-3 <br />B~ <br /> <br />3, <br /> <br />,.,...,- <br />l.....m"'1 <br />Name of Applicant: (First) <br /> <br />A- <br />(Middle) <br /> <br />c?o ""..,.. 1'" iIZ ~ ;' ott- <br />{'.Dt'>" ffIt',c tJ.t lie.- <br /> <br />10. <br /> <br />What plan or change makes this request necessary? <br /> <br />.5~ ~ A H-tt-c 4-1 ~. n <br /> <br />4. <br /> <br />Hi + '1 {! i#f T~ o.(JO L rH .$1-, II. <br />Address of Appl.: (No, And Street) <br /> <br />1.:It) =1 L.A-r<.NN T f:~.'L ~(. <br />Street Address of Property Involved: <br /> <br />5. <br /> <br />7. <br /> <br />Present Use of Property: Vi.~. t/o.;f'-nL 8. <br />Proposed Use of Property: '-"...L-fk;.fj T~ <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />