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e „- � 6 A � • I'lAtitUNC hPrll(nTIBR D.tta 00/t�''I''r' <br />Rosewood Coe ration _ phone676-xtl'' <br />APPLICANT. name Po <br />address 1711 UesL County Road a. Suits. 300 i�ulh, Roseville IN 55117 <br />Interest in property (check appropriate box): <br />G owaer of record <br />O contract for deed owner <br />O other (explain) <br />O lessee, operator, manager <br />■ ayreenent to purchase <br />Documentary evidence of APPlluet's interest In the property MY he <br />reaulred i�cfore final city action on this request. <br />PROPERTY: addressh-All1ral location Niahway 10 and County N2 , _ <br />legal owner: name/address Pinecrest Properties, ATTN: W. N. Beim, <br />General Partner, 6750 Prance Avenue South, Suite 123, Minneapolis, MN 55415 <br />present use (check appropriate box): <br />0 undeveloped 13 business establishment <br />O single family dweiliny ❑ Indu;lr;,,l e,lablishnient <br />O duplex dwelling U apartment, <br />13 other (explain) <br />kE!1UEST: icxplain) Plat approval of major subdivision, site plan appeNal,.-... <br />building blsns aPProvat �d buildiaj�ermiU. <br />r <br />I hereby declare that the above statcnenls are true. nature—_ - <br />FOR OFFICE USE ONLY: <br />RASE FEW <br />subdivision, nwjor <br />subdivision, mirwr <br />rezoning <br />conditional u__ <br />variance <br />code appeal <br />(5150 Maa* <br />($75) <br />($50) <br />($50) _ <br />($50) _ <br />($50) _. <br />%ubtutal 19,0 <br />ssasc fees In pa n ethasls are non- <br />refundable. <br />AODITI."111 1111 <br />err <br />n•appurlionnx•nt -zoo� <br />public hearing notices QT <br />;fdff, cnn,ullant reviews <br />mi Sccllancou. <br />subtotal S <br />TOTAL FEES <br />data paidi <br />receipt //yfi'% <br />Parifund drdical­11 _- <br />date p <br />r rrri:. <br />