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<br />"" <br /> <br />'"" <br /> <br />'J <br /> <br />~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: ~;O-2931 <br /> <br />Please check item or items for which you are applying: <br /> <br />PUD <br />Rezoning <br />Conditional Use Pennit <br />V 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 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. Did Du.t.c..\..\ mMS I 11'4<:... eN"''' '-\Ct'\...i\(ss~, AMi: """:11'.) ~J3- 88LO <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />2. <br /> <br />2'375 Tc~\'~'a \ eocsd. J <br />Address of Owner: (No. And Street) <br /> <br />3, <br /> <br />s,ZJW\< ~~ ovJ~.e"" <br />Name of Applicant: (First) <br /> <br />4. <br /> <br />Ro~e.\.I~ (\e" <br />(City) <br /> <br />MN <br />(State) <br /> <br />S SI r!. - 2577 <br />(Zip) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />Address of Appl.: <br /> <br />(No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5, '2.'>,5" Te...~'~~\ Ro'itd. <br />Street Address of Property Involved: <br /> <br />6, Complete Legal Description of Property Involved: P L-l!..o.. $e '5~.e... <br />4.~h J<< t!-u..f:; <br /> <br />7. <br /> <br />8, <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />,,,,,,i. <br /> <br />l..u~ . <br /> <br />Present Use of Property: N\M,hc.W( <br />Proposed Use of Property: ~~far.b....-~ <br /> <br />9, Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? 5\.A.'\d.,'~ E~p')W\r.'\oV'\ <br />