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<br />"8-('1 ~. q~' <br />PF3067 <br /> <br />II <br /> <br />~ <br /> <br />1~b-L-(~/O <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 />PUD <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 Pennit <br /> <br />$750 <br />SIOO <br />SlOO <br />$200 <br />5200 <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 information to the proper item numbers: <br /> <br />1. <br /> <br />L 8- {2:s- <br />Name of Owner: (First) <br /> <br />I ~ST(Jt/l & <br />(Middle) <br /> <br />/}.JG · <br />(Last) (PhmleJ <br /> <br />2. <br /> <br />1 ~ pi? MjJ 5fJ L {I-NJ1l >(J/7 G lOCO <br />AdtIress of ner: (No. And Street) (City) (Stale) (Zip) <br /> <br />Y 6' ;:us 'f <br /> <br />3. _f'....OSt= (N(')(f)O EST (tf-F <br /> Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. :>-,50 Ai. (/ I CT6f2/A ST. ReSE{jfLlF" <br /> Address of Appl.: (No. And Street) (Cif)~ (Stale) (Zip) 5'61/] <br />5, _ ~~~ /?JS S I <br /> .---p- , <br /> Street Address of Property Involved: I <br />6. t't~ .LffdMJ5 02 2("' 2~ 3A 0001 <br />Complete Legal escnption of Property Involved: <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />8. <br /> <br />Present Zoning of Property: ~ <br />Proposed Zoning of Prop.: R.3 <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />~~ <br />\..\Q... <br /> <br />10. 'What plan or change makes this request necessary? ~ S 1-1 <br /> <br />LottO f cCr57J <br />