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<br />. <br /> <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: (651) 490-2279 FAX: (651) 490-2 31 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />Planning File: .3 2 'lo <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 />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 printingjn ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />..Herz. ITA&€' Re-A l- E 6 TA T ~ IPS'I - (,;3 \ - "39 $""Z..- <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />~Ioo fJo ~.:rn 5N~LL..' N9 (2c>sev i J I e:- MN ~~II"3 <br />Address of Owner: (No. And Street) JCity) (State) (Zip) . <br /> <br />2. <br /> <br />3. <br /> <br />_f3.0i-D ere Foot) ~ , 'Lv t:.. <br />Name of Applicant: (First) (Middle) (Last) <br /> <br />(Zgoo kDuH'f"I'p.1 ~ BlvD Sv.,'k z/o 1'1,/, I4tJ 5~L{ '-f I <br />Address of Applicant: (No. And Street) (City) (State) <br /> <br />7{,3-~~7-733i)c '2..12- <br />(Zip) <br /> <br />(Phone) <br /> <br />4. <br /> <br />5. <br /> <br />'1101 I-AR. PeN 'i):!4? ~ Ave W ~OS6V"l1e }1t/ ~~I /3 <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete LegalDescription of Property Involved: Lo T I <br />~OSev"116' ~f'Jf"'r&1'Z- . <br /> <br />IS L..D CA.:. I I <br /> <br />7. <br /> <br />Present Use of Property: CoM(y\'E'<I'l iGt.l. 8. <br />Proposed Use of Property: Co>'!1V't\~ni tI. \ <br /> <br />Present Zoning of Property: ~UD <br />Proposed Zoning of Property: PIJD <br /> <br />.' , 9~ - -_ .}!resent Comprehensive Plan Designation: Pu D <br />- ..- .- Proposed Comprehensive Plan Designation: Pu c:> <br /> <br />10. What plan or change makes this request necessary? ~Q.U€~"iI~9 Ct.. PUP Al'Vle'^dtlY\e.....+ <br />fOIL- ~(,(...-s of Opelfttko,,", ~T~!.t~'^ \-ll1tl\ '2ftM t7Y\/ d~s 6- L'.He{,z... <br />A(~o, file ADo,'f).D....... Ob "- b........,JI'~ WAIf "'1~ tly\ Nov+-I-I e(evAh'oV\ ' <br />1 <br /> <br />. ..- <br />