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<br />t" 1._ <br /> <br />. <br /> <br />q~?H? <br /> <br />Rl'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 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 />$100 <br />~NG <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 />1. <br /> <br />S'yb;L <br />Name of Owner: <br /> <br />c. S' m I /'H <br />(First) (Middle) <br /> <br />2. <br /> <br />30 7 5 W 06 L bA'1 L-yJZ.. <br />Address of Owner: (No. Aizd:Jtreet) <br /> <br />S1"( <br />(City) <br /> <br />3.' ~ "" '€- <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />4. <br /> <br />~ (WI.~ <br />Address of Appl.: <br /> <br />(No. And Street) <br /> <br />(City) <br /> <br />5. <br /> <br />~ <br />~ ('111--..>"- <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br /> <br />- <br /> <br />( , 5() lf8 3 ~/ 'if 7 <br />((;5/) Lf90 - ?'Io<? <br />(Last) (Phone) <br /> <br />, <br /> <br />eo s e- V I II e..- I fI/l,; <br />(State) (Zip) <br /> <br />55113 <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />8. <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 />~9 f2-MP <br /> <br />1 <br />