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<br />JAN.21.1998 4:06PM CITY OF ROSEVILLE <br /> <br />NO.876 P.3/6 <br /> <br />-,. ..... , <br /> <br />I' <br />} <br /> <br />~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 49()"2279 FA..'\:; 490-2931 <br /> <br />Please check item or items far 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 />5300 <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 />S100 <br />$100 <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. (fthe spaces provided are insufficient, use additional <br />sheets, keying infonnation to the proper item numbers: <br /> <br />1. UbJ 0 M rTftvLfr P~-A <br />Name of Owner: (First) (Middle) <br /> <br />(Last) <br /> <br />~ i.l L/& J 0-63.6 <br />(Phon.e) <br /> <br />2. <br /> <br />~Lfo CbttoYliAJooo/ <br />Address of Owner; (No. And Street) <br /> <br />dv. Va.d~ ,,+~ /UN 5S1~} <br />(City) (Stale) (Zip) <br /> <br />TV) IN I'4P fee <br />Name of Applicant." (First) <br /> <br />Mf!}NT[if&QtLI <br />(Phone) -bQ..&-q~7 S <br /> <br />])(ljuE <br />(State) (Zip) <br /> <br />3. <br /> <br />J N'ff31UJ ItTl &v4L <br />(Middle) (Last) <br /> <br />~ /Y) ET E1<.- <br />(No. And Street) (City) <br /> <br />4. <br /> <br />/&75 W. <br />Address of Appl.: <br /> <br />R~/LLe <br />Street Address of Property Involved: <br /> <br />~ <br /> <br />~j-3 <br /> <br />5. <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />PI N (Yf ZCI ??J ;) I C:O::Y"L <br /> <br />7. <br /> <br />Present Use ofProperty:Q..ij-{Lh~ 8. <br />Proposed Use of Property: EX:teN 17 ON <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Pian Designati on; <br /> <br />10. What p]an or change makes thjs request necessary? J/...l!J) 0 ~ Ft-, <br />A-UJ/ 77o;J <br /> <br />I<eCQiC(.d 2,{q !qB K.lQt <br /> <br />!21-Jano98 02:52P <br />