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<br />~( {~Iob <br /> <br />RI'~ <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 <br />Rezoning $300 Minor Subdivision <br />Conditional Use Permit $200 Relocation of Dwelling <br />Vacation of Right-of-Way $200 Variance to Zoning Ordinance <br />Preliminary & Final Plat $500 X Interim Use Permit <br />~ Labels: Affected Property Owners ($45.00) <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$200 <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 />ADv~1 <br /> <br />Name of Owner: <br /> <br />"JJ11-tlJt2A-N CtHJrzc-H <br />(First) (Middle) <br /> <br />(Las t) <br /> <br />(Phone) <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />Address of Owner: (No. And Street) (City) (State) . (f!!! . 33 I D 3-T <br /> <br />~IV AwtwuJl ~f13l- ~l ~itt:c;& <br />Name of Applic~ (Middle) (Last) (Phone) <br />.12:m ~lt'LU- ~~ 1JrL-w KDbl-V-dIL\ MN S~/D9 <br />Address of Applicant: (No. And Street) (City) ) (State) - (Zip) <br />3iro ~U W- .Avz; N'~L-"tH- <br />Street Address of Property Involved: <br /> <br />4. <br /> <br />5. <br /> <br />6. Complete Legal Description of Property Involved: <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 />