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<br />. <br /> <br />Rl'SI3VfbbE <br /> <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: (651) 490-2279 FAX: (651) 490- <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />Planning File: <br />Please check item or items for which you are applying: <br /> <br />PUD $750 <br />Rezoning $300 <br />Conditional Use Permit $200 <br />Vacation of Right-of-Way $200-X- <br />Preliminary & Pinal Plat $500 <br />Labels: Affected Property Owners ($45.00) <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Interim Use Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$200 <br /> <br />2. <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. Ifthe spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />. ~ ~kri~~ /-~77..~~~-1;37S- <br />Name of Owner: (First) V (Middle) (Last) (Phone) <br /> <br />ff ~;~ <br /> <br />(State) <br /> <br />1. <br /> <br />Address of Owner: <br /> <br /> <br /> <br />3. <br /> <br />'33.5r3) <br />. Name of Applicant: (First) '(Middle) asi) (Phone) <br /> <br />. 1J:7~7 4rfL V:iIt'1 ~/k JI!I/ C61j3 <br /> <br />Address of Applicant: (No. And Street) (CitY) (State) (Zip) <br /> <br />~ I ~ 7 (Vir! J,JtJrl'tA.. <br /> <br />Street Address of Property Involved: <br /> <br />4. _ <br /> <br />5. <br /> <br />6. <br /> <br /> <br />J..i~eil&eJ A6 t'A <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />8. <br /> <br />Present Zoning of Property: <br />Proposed Zoriing of Property: <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? ~~J L J c::;( (q~t'liiJfl/ <br /> <br />1 <br />