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<br />, <br /> <br />7 -'L-eJ --q'g <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />&I!/IJ~ 41/1/ ,.$5ft/( I, <br />(State) (Zip)..,. II <br /> <br />II <br />ii <br />I <br /> <br />II <br /> <br />~~ <br /> <br />2660 CIVIC CENTER DRJ\'E <br />ROSEVILLE, MINNESOTA 55113 PHO;\E: 490-2279 FAX: 490-2931 <br /> <br />Please check item or items for which you are apply'ing: <br /> <br />POO <br />Rezoning <br />Conditional Use Permit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />5750 <br />5101,) <br />5100 <br />S200 <br />5200 <br /> <br />5750 <br />5300 <br />$200 <br />$200 <br />5500 <br /> <br />x <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dv..'elling <br />Variance to Zoning Ordinance <br />Interim Use Permit <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. [[the spaces pro\'ided are insufficient. lIse 3siditiona! <br />sheets, keying information to the proper item numbers: , , /(;-1)) <br /> <br />.,:){{ 7-JIfflZ [? - 0L/IL j) ~?%,J U'j(/( <br /> <br />Name of (}..vner: (First) (Aliddle) <br /> <br />I. <br /> <br />(Last) <br /> <br />( Phol/c! <br /> <br />2. <br /> <br />!it OJ" !lIE IJOU/ L-I/ <br />, Address of Owner: (No. And Street) <br /> <br /> <br /> <br />(State) <br /> <br />3. <br /> <br />, /lilJff( <br />Name of Applicant: (First) <br /> <br />[1/;1.,0 <br />(Last) <br /> <br />--.-:--- <br />(Middle) <br /> <br />I <br />I <br /> <br />!/Ij'9-I' /1E4-j)CL,{./ j~/ )/f <br />Address of Appl.: (No, And Street) (City) <br /> <br />5. rJ fftjl ~ .S-d/E t-ll f/ {Y- <br />Street Address of Property Involved: , <br /> <br />.-.---. <br /> <br />4. <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />7. <br /> <br />Present Zoning of Property': fJ ( <br />Proposed Zoning of Prop.: IJ / <br /> <br />&;111 / T LS:< /) /J(( C;'/j/ ~ <br />(( ( ( <br /> <br />Whatplan or change makes this request necessary? . A~h..n.c; 1f1::--a/ <br />j' <br /> <br />-J1I/. ~~I'.. <br />Present Use of Property: j}1:: ~Lr Olr ~/: <br />....Proposed Use of Property: ,S~ <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. . <br /> <br />'I <br /> <br />i <br /> <br />I <br />I <br />I <br />, <br />I <br />I <br /> <br />I <br />I <br />I <br />,I <br />1\ <br />II <br />) <br />I <br />I <br />i <br />