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<br />"!,~- <br /> <br /> <br />CitY- of <br />~~SBVfbbE <br /> <br />~ Minnesota <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 />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-ot-Way <br />Vacation ot Easement <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 ( td. ) <br />Minor Subdivision $100 <br />Relocation ot Dwelling $100 <br />Variance to Zoning Ordinance $200 <br />Interim Use Permit $200 <br />~ Mailing Labels $35.00 + $.25/label <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. 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 City Council, the applicant must be present at the meetings. <br /> <br />1. , Ckx..f{'\t:S :( b'-'. ~os.e. c"SI-&33-LfLJ).-;)... <br />Name of Owner: (First) (Middle) (Last) (Phone)(Fax) <br /> <br />~ 9 5 \ Sf\-e/t'l6Ei Av-e. ld, Ros~~\\e m tJ 55 (I ~ <br />Address of Owner: (No. And Street) (City). (State) (Zip) <br /> <br />L\ ~ WeS-t W\'{eJe<-~ L.L.L, C Ke.(\Y\-e-th. tJ, el!\-ef\) t:,C; I (,qJ..- bd-l9 <br />Name of Applicant: (First) (Middle) (Last) (Phone)(Fax) <br /> <br />4).lo tJ. f"cA~ ru~ -t-\A.J Ave.- <br />Address of Applicant (No. And Street) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />s+, Po..,^-\ MW <br />(State) <br /> <br />.5S/0L1 <br />(Zip) <br /> <br />(City) <br /> <br />5. <br /> <br /> <br />6. <br /> <br />COl!lplete Legal Description & Pin Number of Property Involved (may attach): <br />G' ') /I ~\I <br />St:.~ A-cto..(,.V\~c\ -'€' ~h~ b,-b <br /> <br />7. <br /> <br />~;~:~~~~~es~f;r~;oepr;;~: C~,,~;<~ ~~~~h ~~"'V%';;-I; +, <br /> <br />Page 1 of5 <br />