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<br />II <br /> <br />t u' 1 ..q~ <br /> <br />I <br />I <br /> <br />~~ <br /> <br />2660 CIYIC CE:\TER DRJ\'E <br />ROSEVILLE. :\'IIN!\'ESOTA 55113 PHO:\E: ~90-2279 FAX: ~90-29JI <br /> <br />Please check item or items for which you are applying: <br /> <br />POO <br />Rezoning <br />Conditional Use Pennit <br />-X- Vacation of Right-of- Way <br />Preliminary & Final Plat <br /> <br />5750 <br />5300 <br />5200 <br />5200 <br />5500 <br /> <br />Comprehensi\'e Plan Amendment <br />Yfinor Subdi\'ision <br />Relocation of Dwelling <br />Variance to Zoning OrdinarKc <br />Interim Lse Pennit <br /> <br />S~~() <br />SIUi1 <br />SiJO <br />5200 <br />5.200 <br /> <br />When applying for more than one approval. only one fee (the highest) is charged. P!easc <br />complete fonn by typing or printing in ink, If the spaces pro\'ided are insufficient. LIse aJdlliona: <br />sheets, keying infonnation to the proper item numbers: <br /> <br />I. '0 (}i~t( S 'b tAH!~ ( f' I1ftJ./~ _S~e- <br />Name of CAvner: (First) r.\11 Ie) <br /> <br /> <br />€.. r 113, / 1'rc.1 '- }(1.:;"'t~ <br />(Phont'l <br /> <br />2. <br /> <br />;)'ILj I Sf, <br />Address of Owner: <br /> <br />A / ~tt".J 5( //1. RCStv':' f!c.. <br />(No, And Slreet) (CilY) <br /> <br />..!> S-/ /3 <br />( Zip J <br /> <br />#1/1/ <br /> <br />( StaTe) <br /> <br />3. <br /> <br />Name of Applicant: (FirST) <br /> <br />(Last) <br /> <br />(Phone I <br /> <br />(Middle) <br /> <br />4. <br /> <br />t <br /> <br />II <br />II <br />II <br />II <br />II <br />I <br /> <br />Address of Appl.: <br /> <br />(No, And StreeT), (City) <br /> <br />(Stale) (Zip) <br /> <br />5. <br /> <br />_i2.~!LL, SfA~s 51. LY~- <br />Street Address of Properl.v Involved: <br /> <br />-_._--~ -.-.---- <br /> <br />6. <br /> <br /> <br />Complete Legal Descrip.tionlf Property Involved: <br />W ,1 [ c.1\.,,-~ ( ;:-~ <br /> <br />7, <br /> <br />, <br />I <br />I <br />I <br /> <br />, <br /> <br />II <br />!! <br />II <br /> <br />, <br />, <br />I <br /> <br />Present Use of Property: ~ 8. <br />Proposed Use of Property: <br /> <br />Present Zoning of Propert)": k <br />Proposed Zoning of Prop,: <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation' <br />Proposed Comprehensive Plan Designation: <br /> <br />f' <br />l.." A. r C\ ~ ~_ <br />~ <br /> <br />10, <br /> <br />What plan or change makes this request necessary? <br />,t Ii r <br />~1f"'I\ <br /> <br />j;LA'I(J,:;.~ of 3M'C<.~ <br />II <br /> <br />1(;. \ <br /> <br />-e..~$e t'.u~-,\.T <br /> <br />------ <br /> <br />I <br />