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<br />~. <br /> <br />~ <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br /> <br />pp# www.ci.roseville.mn.u~dy a.d' al and i @nli~~ . . ~ <br /> <br />Please check item or items for which you are applying: J l. \;.;() <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete this form by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets and refer the information to the proper page and item number. All <br />applicable items must be completed and all required information attached for the application <br />to be accepted as complete. In order to be considered by the Planning Commission and <br />City Council, the applicant must be present at the meetings. <br /> <br />~Af)YIf <br />Name of Owner: <br /> <br />K EL.-AFA1Jbt. (p'5 J ~7 ?>:>7J7 <br />(Middle) (Last) <br />AL TI\ Vtsm DQ ~5BJ1\'L~ HAJ '5<)/) 3 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br />NfrOY It ~ C# Ar111JU:r (0)1 - 4'(7-' 3'5 07 <br />Name of Applicant: (First) (Middle) (Last) (Phone)(Fax) <br />I~[ 0 A,- T11 V\5j3 DrL 10se \JILl ,e, MAl <br />Address of Applicant (No. And Street) (City) (State) <br />I ~ I o,-il.- 'M \l \ ~ II-.Pt.. ~U\'U F M /J ~u 3 <br />Street Address of Property Involved: <br /> <br />PUD <br />Rezoning of Site <br />Zoning Text Amendment <br />Vacation of Right-of-Way <br />Vacation of Easement <br />Preliminary & Final Plat <br /> <br />1. <br /> <br />(First) <br /> <br />2. <br /> <br />I ~(D <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />$750 <br />$300 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Conditional Use Permit <br />Minor Subdivision <br />Relocation of Dwelling <br />$- Variance to Zoning Ordinance <br />Interim Use Permit <br /> <br />$750 <br />$200 <br />$100 <br />$100 <br />$200 <br />$200 <br /> <br />(Phone)(Fax) <br /> <br />S-5/13 <br />(Zip) <br /> <br />Complete Legal Description & Pin Number ofPrope~ Involved (may attach): <br />llt '2-01 23 Ju nol'1 <br /> <br />6. <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />St~"'v~ ~ iL,-\, ~ <br />-S~ y <br /> <br />Page 1 of 5 <br />