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<br />, <br /> <br />II <br /> <br />~SBVfbbE <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 apply'ing: <br /> <br />PUD <br />Rezoning <br />Conditional Use Pennit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Pennit <br /> <br />5750 <br />SIOO <br />5100 <br />5200 <br />S200 <br />I <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. lIse additional <br />sheets, keying infonnation to the proper item numbers: <br /> <br />5750 <br />5300 <br />$200 <br />$200 <br />$500 <br /> <br />-x- <br /> <br />1. <br /> <br />L \ ('\ h \(""\ ~ .... \ 0 1'""\ <br />Name of (J,vner: (First) <br /> <br />(Middle) <br /> <br />Lo. (' \ ~ l-'. f") <br />(Last) (Phol/e.! <br /> <br />2. <br /> <br />647 Evergreen Circle, Shorpvipw <br />,MN. S <br />Address of Owner: (No. And Street) (Cm) ( tate) <br /> <br />Z5l26 <br />( lp) <br /> <br />3. <br /> <br />IAlF. (;;~ riAL- tltYh &5 <br />Name of Applicant: (First) (A-fiddle) <br /> <br />(Last) <br /> <br />(Phol/e) <br /> <br />same <br /> <br />4. <br /> <br />Address of Appl.: <br /> <br />(No, And Street) <br /> <br />( State) <br /> <br />(Zip) <br /> <br />(City) <br /> <br />5. <br /> <br />_v.acan.:t:-Lot on BQrhiil~e Circle~ West of Fprnwoad-AV8-.-_,_.____ <br />Street Address of Property nvo ved: ' <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: Lot 7, Block l, <br />Belrli r J.i'lkp JosQphino Heig-hts No.2 <br /> <br />7. <br /> <br />Present Use of Property: S/F R. <br />Proposed Use of Property: SIF!Rcs. <br /> <br />8. <br /> <br />Present Zoning of Property': <br />Proposed Zoning of Prop,: <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. <br /> <br />What plan or change makes this request necessary? <br />will need slight variance. <br /> <br />HOUSQ aE designed <br /> <br />f- -I <br />1(-1 <br /> <br />4 <br />\~ G-;. <br /> <br />I <br />I \ <br />,I <br />II <br />Ii <br />I <br /> <br />I <br />I <br />I <br />I <br />II <br />;1 <br />II <br />I <br />I <br />J <br />