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<br />_0L~W-.J~L1 - PF5077 <br />~~ ~-g'~9 <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 />~ <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 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 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 />LOIG DLse>c-J (6~~ <br /> <br />Name of Owner: (First) (Mid Ie) <br /> <br />1. <br /> <br />~~-~ <br />~5/- 77/- OZb2- <br />(Last) (Phone) <br /> <br />2. <br /> <br />'2 Z LtD <br />Address of Owner: <br /> <br />/C=E'J-Jwex::;; D ~r ~ <br />(No. And Street) (City) <br /> <br />(State) <br /> <br />'S;S/J, <br />(Zip) <br /> <br />3. <br /> <br />fr-f I LL-/~ <br />Name of Applicant: <br /> <br />D, <br />(First) <br /> <br />{3tzJ~J <br />(Middle) <br /> <br />/pL Z: 62..4- ~7?;O <br />(Last). (Phone) <br /> <br />4. 32-2-.0 1K:..\!;J.J6- AVe. 0. 7-1~~, ~. 5G;Jf[)6 <br />Address of Appl.: (No. And Street) (City) (State) (Zip) <br /> <br />5. /144 La<./ubWW A\lf!). .JJo 4 <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: <br /> <br />7. Present Use of Property: tt:JPFi c.!;!7 8. Present Zoning of Property: <br />Proposed Use of Property: ~/L\DFf1c.e 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? Cf::1..16JUG' p;-~u&- <br />W I T~ ;.,./'5 16lJ~L ~ c.ce...Jt:JI<. 4 StJ iLO i^i;;O/7J()t,j <br />RAL ~~J'- AJ? /!;;U6:iL1e~ gX.~6/Dd. <br />1 <br />