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<br />, <br />." ( <br />) . <br /> <br />I <br /> <br />~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />Please check item or it~ms for which you are applying: <br /> <br />POO <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 Permit <br /> <br />S750 <br />$100 <br />$\00 <br />$200 <br />$200 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />i*~ <br />(Middle) (Last) <br /> <br />tkevcJk JUN. <br />(City) (State) <br /> <br />!/$g,ggt 'J <br />(Phone) <br /> <br />S-<r113 <br />(Zip) <br /> <br />1. <br /> <br />lfAit/hNel-- -r/1cnt/rS <br />Name of Owner: (First) <br /> <br />2. <br /> <br />~()'I:l. DtrfL. <br />Address of Owner: (No. And Street) <br /> <br />?~ <br /> <br />Name of Applicant: (First) <br /> <br />3. <br /> <br />(Middle) <br /> <br />4, <br /> <br />t71t1MC <br />Address of Appl.: (No, And Street) <br /> <br />5. <br /> <br />_ ~ bt{ '2.- ~C(lf Dk <br /> <br />Street Address of Property involved' <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(Cit)) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />._-----~---~ ~... . <br /> <br />2- () L{ z.,.... ;). fJ Lf t..( l~ 7r. AJ , <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />Present Comprehensive Plan Designation: L.t> W d~ <br />Proposed Comprehensive Plan Designation: WuJ d~ <br /> <br />What plan or change makes this request necessary? /It..l2Ui:. ~ addlh~ <br /> <br />~tm~ <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~ <br /> <br />9. <br /> <br />10. <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />C2 - 2- <br />C2 -2. <br />