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<br />~ <br /> <br />F{p <br />II 0 .. <br />.:J <br /> <br />'1".-0:,..... <br />P4. ~-.. <br />Vl,. <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 />POO <br />V Rezoning <br />Conditional Use Pennit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 <br />@g) <br />$200 <br />$200 v <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 />101'1 <br />Name of Owner: (First) <br /> <br />(Middle) <br /> <br />..:Jones <br />(Last) <br /> <br />a33... :<67/ <br />(Phone) <br /> <br />2. :.q {~ FI'U/(IJ/eW Av. No. RO'SE.v/ LL€. MN <br />Address of Owner: (No. And Street) (City) (State)' (Zip) <br /> <br />3. 7JA L-E JOEl- 3S9-,s-Ptf'l <br /> Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. L{;J-O JJ~s ~ ST. MPLS }AN srlfo / <br /> Address of Appl.: (No. And Street) (City) (State) (Zip) <br />5. ;;..t{-tS- -rAffel/JeW All. NO. R 0 $'[;:1) I LLE MAl <br /> Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: '/;;-!- ()JCf'le See.. tot -rn-.2tj 1J.:2.~ <br />" <br />5 2. {;~ 5;.1". "of N t:;Of! ./!i- of E '110 Pi ~ f ~6 14 ~ IJ w Y4 <br />PIO 09 2.q 2~ 2-4 OO~ <br /> <br />7. <br /> <br />Present Use of Property: <br />\ <br />Proposed Use of Property: <br /> <br />Lui <br />h1AtiJlD <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />J;./D <br />"B 3 r <br /> <br />9. Present Comprehensive Plan Designation: 13'3 <br />Proposed Comprehensive Plan Designation: f3 3 <br /> <br />10. What plan or change makes this request necessary? <br /> <br />~~~ /~~~ <br /> <br />1'kr1 b4L ~ <br />(tewoed 21q IC\B ~ <br />