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<br />. ) <br /> <br />" <br /> <br />6-g'9g, <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 />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 -K <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 />$200 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />OAVi~J <br />Name of Owner: <br /> <br />(First) <br /> <br />;11 <br />(Middle) <br /> <br />'S O~IJSa/) .t-/<?;?:;-37'i; <br />(Last) (Phone) <br /> <br />OC C) 5el/ /11 t:... <br />(Stale) (Zip) <br /> <br />2. <br /> <br />} 9 '3 c> '- t:. ~I ;, f"7a " Ilre.. 4/ <br />Address of Owner: (No. And Street) (City) <br /> <br />3. <br /> <br />'SQn,e <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />.s q..-;r e.. <br />Address of Appl.: <br /> <br />(No. And.Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. "$q Ih e. <br />Strp.p.t Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: <br />S-et' 1J17qL/~oI <br /> <br />7. <br /> <br />M. J /J .,.7''71 L <br />Present Use of Property: 1 ,qrvlo.qr~ r-- 8. <br />Proposed Use of Property: -S Q '" -e. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />f5-~ <br />~- l.. <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />DvS'S n I"~ J <br />"'SQ ~ e <br /> <br />10. <br /> <br />What plan or change makes this request necessary? ( f y A,n'S;o " <br /> <br />CJ F Av,/cIt'" ~ <br /> <br />jt/ 't:' k.I <br /> <br />:S7r-'::"'f!7 <br /> <br />'S;..,. 11 <br />