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<br />"i, <br /> <br />, II <br /> <br />. 4. <br /> <br />~bL <br /> <br />IO'I.~~' <br />I <br /> <br />I <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA SStlJ 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 ofRight~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 Permit <br /> <br />5750 <br />5100 <br />5100 <br />$200 <br />S200 <br /> <br />-X <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complet~ 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 />\ liv,..,Af <br />'Name of Owner: <br /> <br />1. <br /> <br />rJ .E-'L <br />(First) <br /> <br />Cc'tL <br />(Last) <br /> <br />&1] -~11.i. <br />(Phone) <br /> <br />(Middle) <br /> <br />2. <br /> <br />.---12-- \)(.1 6. ~t.,.I)6.J..J /hI!-; 120 f ~_V Jt..U t M ~ . ~S- J , S <br />Address of Owner: (No. And Streef) (Ciry) (!lfme) (Zip) <br />---=rl+t'h1A-J jJ~iL LOtL. 64J-4<f1t <br />Name of Applicant: (Firsf) (Middle) (Lasl) (Phone) <br />~1-r1 ~ A-I'...-I)~ A-vL !2tJet/iu.t J11J\,/. S-S-J I ~ <br />Address of Appl.: (No. And Street) (Cil)) (Sthte) (Zip) <br />(U,JfbJ, u;.: I A~~rS-1 tJ <br /> <br />~;; 6.t A-r.,.-A-c.t.ft. t1 <br /> <br />3. <br /> <br />5. <br /> <br />I 0 '2~ 1 ~ t-ht L( tt/L.- Ih./~. <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br />~ ~ ;z.,V&'-'f . <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~ <br />~ <br /> <br />f1 <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? l.A-c,f t. ) ((... , r Z-Ij 1- Ac.,6f.S <br />R S" "M',J 0I'J,t,l. !k.QNlI /V.-iJ - ',4 I fik..JrMol t~ .Md.-I) · <br />