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<br />~SSVfbbE <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@cLroseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.ci.roseville.mn.us ) <br /> <br />Please check item or items for which you are applying: <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 />$750 <br />$300 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Conditional Use Permit <br />v" 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 />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 />1. <br /> <br />THOMA G <br />Name of Owner: <br /> <br />c. . .s ~ A N L 0 t--.\ <br />(First) (Middle) <br /> <br />{p51 - 04(,- 55~ f <br />(Last) (Ph on e)(Fax) <br /> <br />2. <br /> <br />.;1/;J6 <br />~ 116 () c.. L c. vCt..4 N DAti e.. (C (j 5E:. l/ Ii.. L L <br />Address of Owner: (No. And Street) (City) <br /> <br />MN <br />(State) <br /> <br />5-=> /) 3 <br />(Zip) <br /> <br />3. <br /> <br />~Mt AGo A-f3ov6 <br />Name of Applicant: (First) <br /> <br />4. <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Ph on e)(Fax) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />Address of Applicant (No. And Street) <br />,;11,) c> <br />C/,' ~ ~ c..tE Vt::.l.A N PAvE. <br />Street Address of Property Involved: <br /> <br />5. <br /> <br />6. Complete Legal Description & Pin Number of Property Involved (may attach): <br />LOT I -' 13 '-DC-to( I) ~flA ~(JN PA l-t ApI/IT I oN NO. .5 <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />R t5 6'.1 I/C 1'-1 " A- L ( 5/H & '-€ FflHI J L. -( ') <br />fl.. 6 > I D 6. N T ( IJ. L ( s. I H {p Lc -FA 1-JI. , t.. ~( \ <br /> <br />Page 1 of 5 <br />