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<br /> <br /> <br />. <br /> <br />Minnesota <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.ci.roseville.mn.us) <br /> <br />PF# 3 d...5 5 <br />Please check item or items for which you are applying: <br /> <br />PUD <br />Rezoning of Site <br />Zoning Text Amendment <br />Vacation of Right-of-Way <br />Vacation of Easement <br />Preliminary & Final Plat <br /> <br />$750 <br />$300 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />=x= <br />-A- <br /> <br />Comprehensive Plan Amendment$750 <br />Conditional Use Permit $200 <br />Minor Subdivision $100 <br />Relocation of Dwelling $100 <br />Variance to Zoning Ordinance $200 <br />Interim Use Permit $200 <br />Mailing Labels $35.00 + $.25/label <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please complete this <br />form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets and refer the <br />information to the proper page and item number. All applicable items must be completed and all required <br />information attached for the application to be accepted as complete. In order to be considered by the <br />Planning Commission and City Council, the applicant must be present at the meetings. <br /> <br />1. <br /> <br />DA\) ID ('J o(I..MAN <br />Name of Owner: (First) <br /> <br />M !Cl<c.?LS0t0 <br />(Middle) <br /> <br />2. <br /> <br />d-'1l's L~XII\JG7'ON {4-V(; N. <br />Address of Owner: (No. And Street) <br /> <br />3. <br /> <br />/Y4v1f) fVcI<MAN <br />Name of Applicant: (First) <br /> <br />4. <br /> <br />SA""~ <br />Address of Applicant <br /> <br />Co 51 <br />(Last) <br /> <br />~Il/ ~OO w()'t I:: ) <br />(Phone)( ax) <br />SS") <br />(Zip) <br /> <br />;t:SVL <br />(City) <br /> <br />MN <br />(State) <br /> <br />M\(Icr.?L )ON <br />(Middle) <br /> <br />(Last) <br /> <br />S~~ <br />(Phone)(Fax) <br /> <br />(No. And Street) (City) <br /> <br />5. oS ~~"" <br />Street Address of Property Involved: <br /> <br />(State) <br /> <br />(Zip) <br /> <br />6. Complete Legal Description & Pin Number of Property Involved (may attach): <br />s~ ~77.tt( "*=".1 <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />~Sf~l\ITiltL p,l{O~'TI <br />/l.;S'~"'TI~t. 6MA~ <br /> <br />Page 10f5 <br />