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<br />~ <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: Jennis.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# ~'ll?-. <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$750 <br />--L- Conditional Use Permit $200 <br />Minor Subdivision $100 <br />Relocation of 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. ~ ~ -r;"-.\ A- !lo1U~ Sc..hM I('j+. (,S'{j~3vQf!x:>1 <br />~/\'\A~M,. Name bf Ownel\ (First) (Middle) (Last) (phone)(Fax) <br />e;-tti1-CCP3- l'3~ lJ FA( ("S-9~-oo~ <br /> <br />. L~ IS ..5c......~i ~"""2. c:.-I- ./:)/: tu. R;)~~iIIll<, J1~ ..ss-/8 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. <br /> <br />5A+1e.- <br />Na"!e of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone)(Fax) <br /> <br />4. <br /> <br />S~.J.-1\ e. <br />Address of Applicant <br /> <br />(No. And Street) (City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. /3 ~(3 s.c.",.) h IA/L~l- fJ/", lA J <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description & Pin Number of Property Involved (may attach): <br />1/')+,-~ /5/"" k 2,. tu~~J..,.I<!" <: 0..01,.}'+-1""';' R.c:......<J,.~/ ~l ...~)'/ ,(Au , <br /> <br />7. Present Use of Property: ~ J ~.5I-t. +.c.IA' I y J-/.n ~ e.. <br />Proposed Use of Property: ~AM E!- <br /> <br />Page 1 of5 <br />