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<br />" <br /> <br />OJ' ;" <br />.. <br /> <br />'f) . <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 />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 />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 /> <br /> <br />2. <br /> <br /> <br />4. <br /> <br />(City <br /> <br />-"Terry' Lee Cl;1d '''D~p L'-I1Jo.. <br />Name of Applicant: (First) (Middle) <br /> <br />';}55o rJ. ~"e/j,~4t.JP. rRor;~tjJ lie m/J <br />Address of Applicant (No. A Street) (City) J (State) <br /> <br />).55"0 (\J. 5'1e / /,~ Aoe <br />Street Address of Property InvolVi <br /> <br />1';'.4 ; Hl S' <br />(Last) <br /> <br />(1.5/) ~..J~()57..5 <br />(Phone)(Fax) <br /> <br />3. <br /> <br />55//:? <br />(Zip) <br /> <br />5. <br /> <br />6. Complete Legal Description & Pin Number of Property Involved (may attach): <br />_fek<'/ A )(~/:;.J-prpj Lani 5'uroP)/ Vn ~/I <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~;:i~:~t LJ 1J~J ken"" I <br /> <br />Page 1 of5 <br />