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<br />....0. <br /> <br />Rf)SIMbbE <br /> <br />-{-Ij 1st \ <br />J ?- / {J-r I (f/; <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: 1;>d.-7f <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 Interim Use Permit <br />h- 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: c:'5'I.'-' <br /> <br />12/!J~T C' t1ht'j/ ~BJr-1730 <br />Name of Owner: (First) . (Middle) /:l (Last) (Phone) <br /> <br />It'tc.t a~~~ ~1J,*/lI'V.gQIL <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />~~ <br />Name of Applicant: (First) (Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />5. <br /> <br />~~ <br />Address of Applicant: (No. And Street) (City) <br /> <br />g~~ _. 20 {{)CLV1-~S<3 <br />Street Address of Property Involved: <br /> <br />(State) (Zip) <br /> <br />/5eocZ <br /> <br />4. <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 />~#1a/J1L cP ot~ 3~~' ~~ .' <br /> <br />1 <br />