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<br />~ <br /> <br />~SIMbbE <br /> <br />v <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City CDde, ZDning Map and CDmprehensive Plan Map are available Dn the Internet at: <br />www.ci.roseville.mn.us) <br /> <br />Please check item Dr items for which YDU are applying: <br /> <br />~ <br />0>\1'" <br />~ <br /> <br />PUD <br />Rezoning of Site <br />Zoning Text Amendment <br />Vacation of Right-of-Way <br />Vacation of Easement <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />CDnditional Use Permit <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Permit <br /> <br />$750 <br />$200 <br />$100 <br />$100 <br />$200 <br />$200 <br /> <br />When applying for more than one apprDval, Dnly one fee (the highest) is charged. Please <br />complete this form by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets and refer the information to the proper page and item number. All <br />applicable items must be completed and all required information attached for the application <br />to be accepted as complete. In order to be considered by the Planning Commission and <br />City Council, the applicant must be present at the meetings. <br /> <br />1. <br /> Name of Owner: (First) (Middle) (Last) (Phone)(Fax) <br />2. <br /> Address of Owner: (No. And Street) (City) (State) (Zip) <br />3. <br /> Name of Applicant: (First) (Middle) (Last) (Phone)(Fax) <br />4. <br /> Address of Applicant (No. And Street) (City) (State) (Zip) <br />5. <br /> Street Address of Property InvDlved: <br /> <br />6. Complete Legal Description & Pin Number DfProperty InvDlved (may attach): <br /> <br />7. Present Use of Property: <br />Proposed Use of Property: <br /> <br />Page 1 of 5 <br />