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<br />RI'~ <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: www.ci.roseville.mn.us). <br /> <br />Planning File: ~.5.:L- <br />Please check item or items for which you are applying: <br /> <br />2. <br /> <br />PtnD $750 <br />Rezoning $300 <br />Conditional Use Permit $200 <br />Vacation of Right-of-Way $200 ~ <br />Preliminary & Final Plat $500 <br />~ Labels: Affected"property q.wners ($45.0~ <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 ~proper item numbers: <br /> <br />1. ~f,~ ~,- ~I} Lyf}n <br />Name of Owner: (First) (Middle) <br /> <br />11'(3 e,/eve)l1-n d A\Je, <br />Address of Owner: (No. And Street) (City) <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 />Bruhn <br />(Last) <br /> <br />f5l~ 3I-O.q~ <br />(Phone) <br /> <br />Roseville (JJIJ <br />(State) <br /> <br />~S7/3 <br />(Zip) <br /> <br />3. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Las t) <br /> <br />(Phone) <br /> <br />4. <br /> <br />Address of Applicant: (No. And Street) <br /> <br />(City) <br /> <br />. (State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: <br />S T'h L.. <br /> <br /> <br />77 <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? Too C J'DSe.... To 7h~ <br /> <br />5CACK 6~,he- st€-C\k. <br /> <br />I <br />