pf_03213 - Laserfiche WebLink

Home

~ ~ '. ~SIMbbE 2660 CIVIC CENTER DRIVE ROSEVILLE, MINNESOTA 55113 PHONE: (651) 490-2279 FAX: (651) 490-2931 (City Code is available on the Internet. The address is: www.ci.roseville.mn.us). Please check item or items for which you are applying: PUD $750 Comprehensive Plan Amendment Rezoning $300 Minor Subdivision Conditional Use Pennit $200 Relocation of Dwelling Vacation of Right-of-Way $200 =x= Variance to Zoning Ordinance Preliminary & Final Plat $500 Interim Use Permit Labels to Affected Property Owners ($35.00 + $.25/label) $750 $100 $100 ~ J\l/c. $200 When applying for more than one approval, only one fee (the highest) is charged. Please complete fonn by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, keying infonnation to the proper item numbers: 1. f~.J+YLles Name of Owner: f:7S I ~ 181 .- ~ 80 '7 (Last) (Phone) s CO ff (First) /J/f C-. CIt1- #/1.1 (Middle) 2. ~ ~S Gfth.-pldv,Cr.- ,4ve vv: ((o~f-vi'le MN Address of Owner: (No. And Street) (City) (State) 5SJJ 3 -1)6 '$ (Zip) 3. Name of Applicant: (First) (Middle) (Last) (Phone) 4. Address of Applicant: (No. And Street) (City) (State) (Zip) 5. Street Address of Property Involved: 6. Complete Legal Description of Property Involved: 7. Present Use of Property: Proposed Use of Property: i:L 8. Present Zoning of Property: &L Proposed Zoning of Property: - 9. Present Comprehensive Plan Designation: Proposed Comprehensive Plan Designation: 10. qq fJ1P. What plan or change makes this request necessary? I