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<br />1Jt:.1....;.:;<::..l':'':'O .l.l'.;)OMn <br /> <br />I',V~T-,-,VI II I' ~~V -,.~~_..... <br /> <br />~~ <br /> <br />2660 CMC 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 />ConditionalUsePemrit <br />Vacation of Right-of-Way <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 ..A- <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Pem1it <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$200 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete fonn by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br /> <br />2. <br /> <br />(}oirst) <br /> <br />CJIO ~.t <br />Address of Owne (No, And Street) <br /> <br />,Ja~~ <br />Name of Applicant.' <br /> <br />(Last) <br /> <br />R ~ fltrl <br />i~ (State) <br /> <br />3. <br /> <br />~~ <br />/#)' <br /> <br />(Middle) <br /> <br />4. <br /> <br /> <br />5. <br /> <br />6. Complete Legal Description of Property Involved: <br /> <br />7. <br /> <br />Present Use of Property: ~ <br />Proposed Use of Property: ~ <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />it 8-Lf-/9.f,- <br />(Phone) <br /> <br />55/ /3 <br />(Zip) <br />It fr- G--b')/I <br />(Phone) <br /> <br />sro <br />(Zip) . <br /> <br />Present Comprehensive Plan Designation: <br />Propo:;ed Comprehensive Plan Designation: <br /> <br />What plan or change makes this request necessary? , .$lJ,~'/ #" ~~4 <br /> <br />.olil "'" &v.~ ........ ,~-<t ,,-l'"-~ -:r~ ~ Mr ilt""1' ~ <br />~ <br /> <br />9. <br /> <br />10. <br /> <br />/~ <br />"6--c <br />~ <br />