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<br />~. <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. The address is: www.cLroseville.mn.us). <br /> <br />Please check item or items for which you are applying: <br /> <br />PUD $750 Comprehensive Plan Amendment $750 <br />Rezoning $300 Minor Subdivision $100 <br />Conditional Use Permit $200 Relocation of Dwelling $100 <br />Vacation of Right-of-Way $200 X Variance to Zoning Ordinance $200 <br />Preliminary & Final Plat $500 Interim Use Permit $200 <br />Labels to Affected Property Owners ($35.00 + $.25/label) <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please complete <br />form by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, <br />keying information to the proper item numbers: <br /> <br />I. :bl4iV UJ if JOAN h. F!.dAN/< {,.:n-L18"!-/s-7S <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />2. 3/4/ -S);NOY /-lOOK OdZ. i<?OS~VICC6j ftN SSI13 -.2./?-8 <br />Address of Owner: (No. And Street) , (City) (State) (Zip) <br /> <br />3. <br /> <br />Name of Applicant: (First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(phone) <br /> <br />4. <br /> <br />Address of Applicant: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. Complete Legal Description of Property Involved: fA'YT 10, 13 L OGk:.. I <br /> <br />OW;lJ5..<e;O S-/..;ok65 AD/) 1J.' A?AMC;C)# <nuAlTr, N/!. <br />, ~ r- "J \'":l / ... <br />AleC:'-' j:::>A/<cet...L.1<- :-..J/-..c... '] -23 ~2Z... OO()'l <br /> <br />7. <br /> <br />Present Use of Property: <br />Proposed Use of Property: <br /> <br />k-/ <br />I2::L <br /> <br />8. <br /> <br />Present Zoning of Property: I.! - / <br />Proposed Zoning of Property: 12 -- / <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. What plan or change makes this request necessary? POI2C4' /.'IOOIT/OIV U.JILC <br />J <br />t;'^,C/<J>ACf../ Of...! 7$- SETI3A(',/( . !<c&OiCiJ DECK. <br />J <br /> <br />1 <br />