Laserfiche WebLink
<br />[I <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 />Ih 0 h'\~.s L 0 \-.~~ <br />11 It '" ... *'" Ch ;,~ teA ~ <br />Name of 'ner: (First) (Middle) <br /> <br />4 <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />~~ <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 />PUD <br />Rezoning <br />Conditional Use Permit <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 Permit <br /> <br />5750 <br />5100 <br />SIOO <br />5200 <br />5200 <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />LJ eA. \I e.>r <br /> <br />W e...llV~""" <br />(Last) <br /> <br />'18'1-S088 <br /> <br />.. <br /> <br />II <br /> <br />( Phone) <br /> <br />~.3 3 0 ALl e..:rb ttc.k <br />Address of Owner: (No. And Street) <br /> <br />HN. <br />(State) <br /> <br />S.:s-//3 <br />(Zip) <br /> <br />tosev i JI e. <br />(City) <br /> <br />(s ~ """'<J <br />Name of Applicant: (First) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(Middle) <br /> <br />($ l.\~J <br />Address of Appl.: (No. And Street) (Cif)) <br /> <br />I <br />I <br />II <br />II <br /> <br />(State) <br /> <br />(Zip) <br /> <br />cJ..33D iT/.( -er b A. c.L . ~ c.J<V\""I 4L <br />Street Address of Property fnvol~~ <br /> <br />.-.-"---- <br /> <br />6. Complete Legal Description of Property Involved: J()'..s R ,-c.e.. srre.. e.... T <br />A ~cJ. ~ 'h~ () "" LOTS 4.3 4 Y "\,\/:.( LoT LIS- BL ~ (j, <br />f\-6~y..'l.'\'I I D No./ PJ N : I ~ ..29 J....3 42. 0 O"::l I <br /> <br />7. Present Use of Property: s.f- 8. Present Zoning of Property: /C.. I <br />Proposed Use of Property: ,Sr Proposed Zoning of Prop.: R.. I <br /> <br />9. <br /> <br />IV 10. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />~.f)~ <br />4.IJ/L <br />{se.te <br /> <br />I <br />. (1 I <br />,t~1 I <br />\v V\' I <br /> <br />I <br /> <br />et. "TTttd.eJ. Sleed <br /> <br />What plan or change makes this request necessary? <br />