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<br />. <br /> <br />"f~~~O <br /> <br />.~ <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. The address is: www.ci.roseville.mn.us). <br /> <br />Please check item or items for which you are applying: <br /> <br />PUD $750 Comprehensive Plan Amendment $750 <br />Rezoning $300 -X- 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 to Affected Property Owners ($35,00 + $.25/1abel) <br /> <br />5. <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 /> <br /> <br />:heets. keying ;:~J:'e proper item A7.ers: (;) kM1 Lj{JJ8~- r~ <br /> <br />Name of Owner: (First) (Middle) [) (Last) (Phone) <br /> <br />2. Cfi5 ~f}ek~~t1. k to" /T~e(j,(!Ie, UN ~!f/l3 <br /> <br />Address of Owner: (No. And Street) (City) , (S ate) / (Zip) <br /> <br />6~/- ~ -O(~' <br />Name of Applic nt: (First) (Middle) (Last) (Phone) <br />rf/ ~e/wPf/t;k. il:i ~~(~ $;(,5'6/,(5 <br /> <br />Address of Applicant: (No. And Stree;); _ (~i~h l ;/ (State) I (Zip) <br /> <br />1jb ~e5e1ttaJ/L fIVe, Wep <br /> <br />Street Address of Property Involved: <br /> <br /> <br /> <br />3, <br /> <br />4. <br /> <br />6. Complete Legal Description of Property Involved: flee:.. ct?tJlrY/.er <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 />