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<br />-, <br /> <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 Pennit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 -L <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Pennit <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 fonn by typing or printing in ink, If the spaces provided are insufficient, use additional <br />sheets, keying infonnation to the proper item numbers: <br /> <br />1. <br /> <br />--.- <br />I ArntYI "1 <br />Na~e of Owner: (First} <br /> <br />A, <br />(Middle) <br /> <br />Je "t::.i;v S <br />(Last) <br /> <br />( UiZ.) 48A" ZaB" <br />(Phone) <br /> <br />tJ '''RaS~..I~ ,It I MfIJ <br />(City) (State) <br /> <br />~ ENKI'/tI ~ <br />(Last) <br /> <br />551. ~ <br />(Zip) <br /> <br />((,11..) 488 ..ZBB G:, <br />(Phone) <br /> <br />2. <br /> <br />11'11-- tl-tA T -'wo~ TU Sf-- <br />Address of Owner: (No. And Street) <br /> <br />~l'vl'I' .. ) <br />(City) <br /> <br />w. <br /> <br />1 <br /> <br />At"" <br />(State) <br /> <br />~Slt ~ <br />(Zip) <br /> <br />~~v"/1 So. M ^' $"5'11 ~ <br /> <br />..:5 E~ A ~c. tf f. ~ <br /> <br />6, <br /> <br />Complete Legal Description of Property Involved: <br /> <br />7. <br /> <br />Present Zoning of Property: B..3 <br />Proposed Zoning of Prop.: B ~ <br /> <br />~,"m 't-tlL~ i A-c- <br />L!o()'1IY" /II:- C / .#c..... <br /> <br />10. <br /> <br />What plan or change makes this request necessary? <br /> <br />'-S~ e A H-.t-c .., ~ no <br /> <br />3. <br /> <br />t:t.IY1Jn1 <br />Name of Applicant: (First) <br /> <br />A~ <br />(Middle) <br /> <br />4. <br /> <br />1!f+'1 ~W.,},. wot!.-T14 ..$/. N. <br />Address of Appl.: (No, And Street) <br /> <br />5. <br /> <br />,.:J f) '=1 LA-tc.~ N T 2. c.: tL k, . <br />Street Address of Property Involved: <br /> <br />Present Use of Property: V~~. /../rxfinf&... 8. <br />Proposed Use of Property: "'..1:.....- I-k:f IT IIiL.. <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />