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<br />. , <br /> <br />'" <br /> <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 -.k.. <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 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 />R~Ul CI...J.. <br />(Middle) <br />d,/{Q.(1 0 CUJ-i~ ~ ror: P~~L> lie 1n1U5.YI8 <br />Address of Owner: (No. And Street) (Ci(v) (State) dip) <br /> <br />Name of Applicant: % % (~~~ (Last) <br />d.-I Q { {l:! Cwu...- ~ AfJ.- t}: tJ(O,)w-J..1. )riP 557 t3 <br />Address of Appl.: (No. An Street) (City) (State) , (211)) <br />XXXk 0.1t~:;.J~<~ <br /> <br />Name of Owner: <br /> <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2. <br /> <br />3. <br /> <br />(Phone) <br /> <br />4. <br /> <br />5 <br /> <br />____;.L~ '/JJ~c <br />Street Address of Property Involved: <br /> <br /> <br />6. <br /> <br />R, <br />RJ <br /> <br />. Lf<. <br />LR. <br />. <br /> <br /> <br />10. What plan or change makes this request necessary? H.u ('~oJ it J.l) ~ <br /> <br />Rw,d.~ M.s~ i1u- /~~ ':V <br />()t(J() tu......J..h..A.. S.J., ;itt/.() _!~- -.Jj <br />~ /1 I ~ ~ rwf . _ f.L cv-- . ~ AhJ.(;I <br />!)d-~. ~ l(j~ ~.. h No fH!'LtLll r/J. ~~ .J!/f. /1JI#t.ld~ &qtJ cX( <br />to tL t&Aj ~ llA11 Idb t'i /;J.ljj {}{tctud- 1(iYt!-< 7IJ f!1::::! n.U!u <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />- <br /> <br /> <br />