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<br />~ <br /> <br />CiitY- oj[' <br />.SBVH:ffi <br /> <br />. . Minnesota <br /> <br />l ~ --; ) . <br />. ..l <br />V <br /> <br />. , <br />..', ,.... <br />I..... I ~"'-C_t. <br />\\.:_.' ' <br /> <br />2660 Civic Ce~ieD" lDD"ive <br />Rosevme, MirTIlI"Oesota 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 />PF# <br />Please check item or items for which you are applying: <br />, \ <br /> <br />~ PUD $75.9-<~__ Comprehensive Plan Amendment$750 <br />Rezoning of Site $300 Conditional Use Permit $200 <br />Zoning Text Amendment $300 Minor Subdivision $100 <br />Vacation of Right-of-Way $200 Relocation of Dwelling $100 <br />Vacation of Easement $200 Variance to Zoning Ordinance $200 <br />_ Preliminary & Final Plat $500 _ Interim Use Permit $200 <br />-A- i\1ailing Lab~ls $35.00 + $.25/1abel <br /> <br />When applying for more than one approval, only one fee (thE!'hi9~~t)~s'iharged. Please complete this <br />form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets and refer the <br />information to the proper page and item number, All applicable items must be completed and all required <br />information attached for the application to be accepted as complete, in order to be considered by the <br />Planning Commission and C~ty Council, the alpplDcaroft mUlst be present at the meetings. <br /> <br />1. <br /> <br /> <br />$:) ~ l -SS'it.c' ~ <br />(Phone)(Fax) <br /> <br />JV1 Sip I ~)\ N S-::S- LfCj <br />(State) 1 (ZIp) <br />~J0<lI'\\ c.t.. <br />1$& ~ . <'c. Id 5)~'1 r:::;-/{. lc <br />(Last) (Ph on e)(F?x)r-", d <br />ee,.). ~~ I ~ /I T <br />'i3/0 L\;' ()LV ShfnLc'fEE /lrJ gf['('YV1~'^^~t Mrv <;"t)l.f3 ') <br />Address of Applicant (No. And Street) (City) (St;J(e) , (Zip) <br /> <br />d/9i - d8 s3 IUvvth HinV\t~1\1 ~t~Vt.. RC.Stl.'.lb , i1:J 1\) <br />Street Address of Property Involved: I <br /> <br />Name of wner: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />,5. <br /> <br />6. <br /> <br />Complete Legal Description & Pin Number of Property Involved (may attach): <br />See A+frb~(j) Pi ~\} +1. t<~ at'! J~::S ,0(1 J7C <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br /> <br />Page 1 of 5 <br /> <br />I <br />I <br />I <br />I <br /> <br />- <br />