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AttachmentC <br />CD <br />OMMUNITYEVELOPMENT <br />2660 Civic Center Drive Roseville, MN 55113 <br />Phone: (651) 792-7005 Fax: (651) 792-7070 <br />ENVIRONMENTAL REVIEW WORKSHEET APPLICATION <br />APPLICATION FEE: $500 <br />ESCROW: $1500 <br />Application fee should be made payable to City of Roseville upon submittal of completed waiver application. <br />Please complete the application by typing or printing in ink. <br />1.Project title: <br /> _____________________________________________________________________ <br />2.Proposer <br />Company name: ___________________________________________________________________ <br />Contact person’s name/title: __________________________________________________________ <br />Address: _______________________________ City/State/Zip: _____________________________ <br />Phone number: __________________________ Email address: _____________________________ <br />3.Project location: <br /> (Street address and/or Ramsey County Parcel Identification Number) <br />4.Project description <br /> <br />A. <br />Provide a brief project summary (approx. 50 words) <br /> <br /> <br /> <br />B. <br />Provide a complete description of the proposed project and related new construction, including <br />infrastructure needs. Emphasize: 1) construction, operation methods and features that will cause <br />physical manipulation of the environment or will produce wastes, 2) modifications to existing <br />equipment or industrial processes, 3) significant demolition, removal or remodeling of existing <br />structures, and 4) timing and duration of construction activities. <br />C. <br />Project magnitude <br />Total project acreage <br />Linear project length <br />Number and type of residential units <br />Commercial building area (square feet) <br />Other uses Î specify (square feet) <br />Structure height(s) <br /> <br />