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<br />.' <br />, <br /> <br />t>F~(?.( <br /> <br />q't PHP <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 />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />~ Variance to Zoning Ordinance <br />Interim Use Permit <br /> <br />$750 <br />$100 <br /> <br />~~ <br />$200 <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 /> <br />"'-I' /YI.a6hCt. el +-1Vlt1e,~ bj[;(2- (~5 /) 19'1- r7~4; <br />/" <br /> Name of Owner: (Fi st) (Middle) (Last) (Phone) <br />2. ;(osev,7/e. fJ1tJ 55//3 <br /> (City) (State) (Zip) <br />3,f S II-M E., <br />~C\, 'I'f Name of Applicant: (First) (Middle) (Last) (Phone) <br /> <br /> <br />4. <br /> <br />~MY\ E- <br />Address of Appl. : (No, And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />373 iJ1 a,p Ie /4,N.e 61-: <br />Street Address of Pfoperty Involved: <br /> <br />/CDS-eI),lIt: #/ tJ S-~7 /3 <br /> <br />6. Complete Legal Description of Property Involved: <br />~Ot:1L ~\OdS '2-lsch\cta. Ol-OQS~ll:') fQ(~+ f\J(). 'L <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />i= <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoning of Prop.: <br /> <br />~, <br />-At- <br /> <br />9. <br /> <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />~Arr <br /> <br />10. What plan or change makes this request necessary? ~ -Pmp <br /> <br />1 <br /> <br />A~ <br />rvC; <br />V( <br />