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<br />I: <br /> <br />~ f~ ~o <br /> <br />qq PK P <br /> <br />~SIMbbE <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 Pennit <br />Vacation of Right-of-Way <br />Preliminary & Pinal Plat <br /> <br />$750 <br />$300 <br />$200 <br />$200 X- <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Pennit <br /> <br />$750 <br />$100 <br /> <br />~N~ <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 infonnation to the proper item numbers: <br /> <br />1. I(<<-:::..~~ L flu. c;. u..sl 'hnsqrG U/ -~8J --,.2.3 i3 <br /> Name of Owner: (First) (Middle) (Last) (Phone) <br />2. 55//3 -14 f. <br /> (State) (Zip) <br />3. J..,z> t.L; ~ ~ IJ 6 1-483-25 ~ 3 <br /> Name of Applicant: (Middle) (Last) (Phone) <br /> <br /> <br />4. <br /> <br />as <br />Address of Appl.: <br /> <br />ai>o r) e . <br />(No. And Street) <br /> <br /> <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. :S"'6-/1..3 -- <br /> <br /> <br />"" <br />6. Complete Legal Description of Property Involved: ~ 2 q '2.--3 L{ ~ 60 "3 2- <br /> <br />7. <br /> <br />Present Use of Property: Re.:~ /'Jt!-/)t!.eJ 8. <br />Proposed Use of Property: <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />Present Zoning of Property: ~-\ <br />Proposed Zoning of Prop.: <br /> <br />10. What plan or change makes this request necessary? <br /> <br />1 <br /> <br />V( )-)"1\ G\ <br />