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<br />f <br /> <br />I <br /> <br />.SfMbbE <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 />-t- <br /> <br />PUD <br />Rezoning <br />Conditional Use Permit <br />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 />5750 <br />$100 <br />$\00 <br />$200 <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. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />BAR\'\V <br />Name of Owner: (First) <br /> <br />CJ '!4 EAR fJ, <br />(Last) <br /> <br />6]) - O"tll( <br />(Phone) <br /> <br />J 0 s.efJII <br />(Middle)' <br /> <br />/S7Lf BRSfJI\JEf? Av <br />Address of Owner: (No. And Street) <br /> <br />R 05E(j,tJ.~ (}J if <br />(City) (State) <br /> <br />v5" / I"] <br />(Zip) <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />Address of Appl.: <br /> <br />(No. And Street) <br /> <br />(Ot)) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />fYI t L To IV 5rREST_ <br />Street Address afProperty Involved: <br /> <br />------- --- <br /> <br />Complete Legal Description of Property Involved: <br /> <br />5e.4. I+-if (tC/~ D <br /> <br />CJ429'23Z1 0039 d- 0040 <br /> <br />Present Use of Property: <br />Proposed Use 0 f Property~ <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />R-{ <br />f/-/ <br /> <br />.-B..::.I <br /> <br />9. Present Comprehensive Plan Designation: (/ <br />Proposed Comprehensive Plan Designation;,: <br /> <br />10. <br /> <br />What plan or change makes this request necessary:/: <br />. \ <br />~ <br /> <br />/-- <br /> <br />'y <br />