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<br />PF 3 'd-80 <br /> <br />~1Iz.v/b~ // <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. The address is: www.ci.roseville.mn.us). <br /> <br />~ <br /> <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 X Variance to Zoning Ordinance <br />Preliminary & Final Plat $500 _ Interim Us~Permit <br />Labels to Affected Property Owners ($35.00 + $.25/label) "'V '1-?, p D <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$200 <br /> <br />x <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please complete <br />form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, <br />keying information to the proper item numbers: <br /> <br />1. <br /> <br />!3tV + PE7t3f{ VESTeT(ffOt- T <br />Name of Owner: (First) (Middle) <br /> <br />br/-7hJ--{)&>78 <br />(Last) (Phone) <br /> <br />2. f:I1tJ He-(~ ClI!:.CLA3" /WSEVIGLE" MIJ ~T/IX <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. JtrfY1 ~ fr:f tJ7/l/, <br /> Name of Applicant: (First) (Middle) (Last) (Phone) <br />4. J ftfl1 e- N ()W~ <br /> Address of Applicant: (No, And Street) (City) (State) (Zip) <br /> <br />5. Gq1.f-fc:;-; ~ crt;::. c t-o- <br />Street Address of Property Involved: <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? PI? ~ ? 0 J El7' "~ <br /> <br />A-VOrTfON' -z:o 1M fJRDV6 ~t:>/~r:'f:-' ;~-cC-c::ss!gll-{T'I <br />,k(vO CbtV..sOLIONTe. E:>(T~/cne. S~r~ :- '~~ <br /> <br />{/N13 ~ . <br /> <br />1 <br />