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CITI'Y OF FWEEVI= <br />2660 Civic Center Drive <br />Rreville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />PUD $750 <br />Rezoning $300 <br />Special Use Permit $200 <br />vacation of Right -of -Tay $200 <br />Preliminary and Final Plat $500 <br />Comprehensive Plan Ame y1ment <br />Division of Platted lot <br />Relocation of Dwelling <br />variance to Zoning Ordinance <br />Shoreline Permit <br />$75C <br />$10C <br />$10( <br />$20C . <br />$ 5C <br />Please ccoplete form by typing or printing in ink. If the spaces provided <br />insufficient, use additional sheets, keying information to the proper item numbers: <br />P (); Lk �- -T . �< �>kl-) L Lf 0- -Z U) 0 Ld r7-01H <br />Kama of Luner: f 1"' 1-sr) tPlicir, 1 e <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />E�! <br />10. <br />11. <br />Address of Owner: (No. and Street) (City) (State) (Zip) <br />As Afkut <br />Name of Applicant: (First) (Middle) (Last) (Phone;', <br />SAmf. As Rf3ou . <br />Address of Applicant:(Nci. and Street) (City) (State) <br />B k UE + UZU 1DRzft <br />Street Address of Property Involved: <br />Complete Legal Description of Property Involved: <br />_ 35' <br />Date Property AoVired: <br />Pre:rent Use of Property: rnP1 `t' o I 9. Present Zoning of Property: <br />Proposed Use of Property: RtAz i-D SZPCProposed Zoning of Property: <br />FAmr-\.,`� 0 s L L'L-z-fC Q <br />Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br />What plan or change makes this request ? T-rV ( R- �� Q ML <br />12. What is the expected effect of the pressed change? (For example, on, propert <br />values, ealth, safety, parking, fi conditions, etc.) <br />