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<br />j ,J, <br /> <br />~- f J -q )' <br /> <br />" <br /> <br />J. <br /> <br />RI'~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 4SJ-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 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interirn 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 />)0 ^ A b1. \tl.( <br />Name of Owner: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />'36..II.?P <br />(Phone) <br /> <br />2. <br /> <br />3. <br /> <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br />Gre. {tt Fr;tdo..('I\C(l\I' ~ rct_ {.e ( &(e\J ('1 ~04 "0 ~'" <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />-l.{O1 ro,,+~ \:!.t st =t:t tolD H f A!ate) f1u 55 ltO , <br />Address of Appl.: (No. And Street) (City) (Zip) <br /> <br />4. <br /> <br />5. ~ ,q35 Lq ke <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Cornplete Le~al Description of Property Involved: tot CJ <br />z9 ~t ~{ot 10 <br /> <br />C(,\ cl l'f1rt ~ <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />va. (ul\ ~ <br />~ <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />_ll.::l <br />1\- I <br /> <br />9. Present Cornprehensive Plan Designation: L 1) 'R <br />Proposed Cornprehensive Plan Designation: L D ~ <br /> <br />10. What plan or change makes this request necessary? ho.vlil ~ c... ~v.' J J;I\)r <br /> <br />~ <br /> <br />1 <br />