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<br />~SIMbbE <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: (651) 490-2279 FAX: (651) 490-2931 <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 Comprehensive Plan Amendment $750 <br />Rezoning $300 Minor Subdivision $100 <br />Conditional Use Permit $200 Relocation of Dwelling $100 <br />Vacation of Right-of-Way $200 Variance to Zoning Ordinance $200 <br />Preliminary & Final Plat $500 Interim Use Permit $200 <br />Labels: Affected Property Owners ($45.00) <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. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> Name of Owner: (First) (Middle) (Last) <br />2. <br /> Address of Owner: (No. And Street) (City) (State) <br />3. <br /> . Name of Applicant: (First) (Middle) (Last) <br />4. <br /> Address of Applicant: (No. And Street) (City) (State) <br />5. <br /> Street Address of Property Involved: <br />6. Complete Legal Description of Property Involved: <br /> <br />(Phone) <br /> <br />(Zip) <br /> <br />(Phone) <br /> <br />(Zip) <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 Zoning 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? <br /> <br />1 <br />