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<br />;"'~A <br /> <br />~~ <br /> <br /> <br />z{ (60 <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 />+- <br /> <br />PUD $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 Owners ($45.00) <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 />~ <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. rfthe spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />11 As E" It... <br />(Middle) (Last) (Phone) <br /> <br />~ 91' Lul>pbae"b~'- sr: 1Cnst"~ Ltc f11w S.s-J/3 <br />Address of Owner: (No. And Street) (City) (State) J (Zip) <br /> <br />K.' t-~A~ <br />Name of Owner: <br /> <br />L. <br /> <br />foS 1- '1 '8''1 - ~ t.. ~ 3 <br /> <br />(First) <br /> <br />2. <br /> <br />3. <br /> <br />SAM~ <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <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 /> <br />PlA/~rlJ,.H H.~Jrrs <br /> <br />--4 <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 />