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<br />7'16-Cf? <br /> <br />II <br /> <br />fl.e~pt ~ OO()~<Ol~l <br /> <br />~sevIbbE <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-293J <br /> <br />Please check item or items for which you are applying: <br /> <br />POO <br />Rezoning <br />Conditional Use Pennit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <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 />SIOO <br />5100 <br />S200 <br />5200 <br /> <br />$750 <br />$300 <br />$200 <br />$200 -A- <br />$500 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete fonn by typing or printing in ink. Ifthe spaces provided are insufficient. use additional <br />sheets, keying infonnation to the proper item numbers: <br /> <br />l. <br /> <br />Rc6ER- <br />Name of Owner: (First) <br /> <br />(Middle) <br /> <br />K R I\-\A..~ <= <br />(Last) <br /> <br />(Phone) <br /> <br />2. <br /> <br />l ~ 0 '=' 1<'"iIt ,J res U L- <br />Address of Owner: (. o. And Street) (Cit)~ <br /> <br />S'S'113 <br />(Zip) <br /> <br />(State) <br /> <br />3. <br /> <br />SA-rv\.E"' <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) (Phone) <br />(State) (Zip) I <br />II <br />~~(I~ --------. <br /> p, <br /> \ <br /> <br />4. <br /> <br />Address of Appl.: <br /> <br />(No. And Street) <br /> <br />(Cil)~ <br /> <br />5. _ (~OCo (.l...;J ~\J L t ""'~ <br />Street Address 0 Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br />fttJi) ~L t\ J:.: Lo 1"" BL' ()< <br /> <br />8'A-sr Yz- ~F LoT ~ <br />14-, 1...~?~.-'2$ .-/3 ....()(j;~ <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />SE:- <br />sE- <br /> <br />R\ <br />R\ <br /> <br />8. <br /> <br />Present Zoning of Prop,erty: <br />Proposed Zoning of Prop.: <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: ~ D R.. <br />Proposed Comprehensive Nan Designation: ~ 1< <br /> <br />WhaJ plan oichange makes this request necessary? --1J tV LMCD c=R.... <br /> <br />'~AR.A-G.C-~ ~ffb 4t)O\\If)&J~ G/+RhGcF SPft<.E <br /> <br />~R:., ~7cJ, R.ftCo~', 31.570 CeJ~ <br />~1{P5f. of ~~uirt:'.d-- <br /> <br />10. <br />