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<br />I.. <br /> <br />. . <br /> <br />.. <br /> <br />f~1~O-.. <br /> <br />qqPtvjp <br /> <br />~SBVfbbE <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 X <br />$500 <br /> <br />$750 <br />$100 <br />$100 <br />~ W (.., <br />$200 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Permit <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/ t~e froper item numbers: <br />M'Ic..~e., -J. ~VlS <br />1. 'R-lse.',Oa G. '?oDe . <br />Name of Owner: (First) (Middle) .---r1a~ <br /> <br />~S/-q?2~ I "l.f.~ <br />(Phone) <br /> <br />2. ~b<t7 lvtcPERIDGf 5r,Kosevillt /IlN 5"5//3 <br />Address of Owner: (No. And Street) (City)' (State) (Zip) <br /> <br />3. <br /> <br />S4/Y1E AS PJ1i>Vc::, <br />Name of Applicant: (First) (Middle) <br /> <br />(Phone) <br /> <br />(Last) <br /> <br />4. <br /> <br />SA Me:: As -A J?oVE:- <br />Address of Appl.: (No. And Street) (City) (State) (Zip) <br /> <br />'~6<g7 WoDDE!<tDGE S~,f?osevi((e- (YIN 55//3 <br />Street Address of Property Involved: ' <br /> <br />5. <br /> <br />6. <br /> <br />C?,lete Legal r::tcriPtion of Property Involved: <br />L 'f) "BID 3) trbi~ wllb/weal. Adi,; PItd-3 <br /> <br />7. <br /> <br />Present Use of Property: ~.~ <br />Proposed Use of Property: <br /> <br />Present Zoning of Property:~ eCZ:.-1dflAlJ n <br />Proposed Zoning of Prop.: R~o.-{ <br /> <br />8. <br /> <br />? <br />9. Present Comprehensive Plan Designation: \ <br />Proposed Comprehensive Plan Designation: <br /> <br /> <br />10. What plan or change makes this request necessary? S <br /> <br />1 <br />