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<br />. " <br /> <br />~SI3VIbbE <br /> <br />Vf~B~ <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.droseville.mn.us ) <br /> <br />PF# <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 Basement <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment $750 <br />Conditional Use Permit $200 <br />=:2: Minor SubdivisionA,_$10!L_~~ <br />Relocation of Dwelling . $100 <br />Variance to Zoning Ordinance $200 <br />_ ; Interim Use Permit $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 />,2. <br /> <br />DjLL}I~ <br />(Middle) (Last) <br /> <br />-~JCJ ~ iJ-LL7.fteN Rd. f?S~/;) 1{'pI:) f>1 "I <br />Address of Owner: (No. And Street) (City) W (State) <br /> <br />1. <br /> <br />'JD ~ L .D. qj.. PJ\~ I~" <br />Name of Owner: (First) <br /> <br />3. <br /> <br />_(JOE'L <br />Name of Applicant: (First) <br /> <br />m. <br /> <br />--LJ · <br />(Middle) <br /> <br />D j 1..LJI'~ <br />(Last) <br /> <br />4. <br /> <br />~)9~ I7C!-DR/\1 ru. <br />Address of Applicant (No. And Street) <br /> <br />]y)N <br />(State) <br /> <br />~S;;;-e.U) Ik <br />(City) <br /> <br />t.!.-j ...~33 -'"'3~o <br />(Phone)(Fax) <br /> <br />~~-/J .3 <br />(Zip) <br /> <br />I,s J...t33 -"3;;i3~ <br />(Phone)(Fax) <br /> <br />~"!:'---/J .3 <br />(Zip) <br /> <br />5. <br /> <br /> <br />13 /V.& <br /> <br /> <br />Complete Legal Description & Pin Number of Property Involved (may attach): <br />fiN #- 0 g> . ~1 ~'3 # OLJ..:l C! f.r<. I:, ;l.3 <br />dp~(~~ 1(-&/011) ilf-"6:l'9r>, A'c!>.cJ <br /> <br />Present Use of Property: Res I de :: -6 ~ 1L <br />Proposed Use of Property: ~ ;01 e. iT . <br /> <br />6. <br /> <br />7. <br /> <br />Page 1 of5 <br />