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<br />PIc 6rLq2.:~1~1'" <br /> <br />II <br /> <br />~~ <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55] 13 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 Pennit <br /> <br />~,p~i <br />~~ <br />~ <br /> <br />5750 <br />5100 <br />5100 <br />$200 <br />$200 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />. comp,lete form 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 />, <br /> <br /> <br /> <br />SS/11 <br />(Zip) <br /> <br />1. <br /> <br /> <br />(First) (Middle) <br /> <br />~~ tJJ. <br />(No. And Street) (City) <br /> <br />(La ') <br /> <br />.eD~~ <br /> <br />(State) <br /> <br />2. <br /> <br />Name of Owner: <br /> <br /> <br />/~r~/oJOw~ <br /> <br />3. <br /> <br /> <br />(Last) (Phone) <br /> <br />4. <br /> <br />Address of Appl.: <br /> <br />(Zip) <br /> <br />(No. And Street) <br /> <br />(Cif)~ <br /> <br />(State) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <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 />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? dt # <br /> <br />~---- <br /> <br />II <br />'1 <br /> <br />fl- <br /> <br />r r <br /> <br />. I <br />