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.` <br />*it A13 <br />U• CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />"U <br />Please check item or items for which you are applying. 4 /- <br />_ Division of Platted Lot $50 <br />Relocation of Dwelling <br />Variance to Zoning Ordinance $50 <br />— Minor Variance <br />_ Rezoning $100 <br />Special Use Permit $100 <br />— Vacation of Right-of-WaY $100 <br />Preliminary and Final Plat $100 <br />Please complete form by typing or printing in ink. <br />If the spaces provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />Name of Owner: <br />ess of Owner: <br />Name of Applicant: <br />Address o <br />Laurence <br />(First) <br />J. <br />(Middle <br />1843 Fernwood Avenue <br />(No. and Street) <br />Laurence <br />(First) <br />1843 <br />Applicant: <br />J. <br />(Middle) <br />Koalska <br />(Last) <br />Roseville Minnesota <br />(City) (State <br />Koalska <br />(Last) <br />Fernwood Avenue Roseville <br />(No. and Street) (City) <br />(State) <br />(Phone) <br />55113 <br />(Zip) <br />644-907 <br />(Phone) <br />55113 <br />(ZipI <br />-7 --- Merrill Street Michels Roselau <br />Street Address of Property Involved: Lot ten (10) , Block three (3) , <br />No. 2, according to the recorded plat thereof; <br />Complete Legal Description of PE perty Involved:anc�, mh L�^rth �`^ of <br />3 uth 300 feet of th est 2 in, tad StateS <br />1 /4 of Ston R� ateCrC,O_- <br />-4 4-in nn„nty _RP-cQrda3: in <br />and for Ramsey County, Minnesota. <br />7. Date Property Acquired: LUL <br />8. Present Use of Property: vacant Proposed Use of Property: residence <br />resi- <br />g . Present Zoning of Property• can ; al Proposed Zoning of Property: YPS��P-ntial <br />10. What plan or change makes this request necessary? -- by <br />on 1Ot �{]G ni Vi Slon O a <br />D�;r, �, ran or �nlatt P <br />11. What is the expected effect of the proposed <br />ra ange?fc (For <br />ionsexample, <br />on <br />health, safety, parking, property values, nrnnPY'tV; rh �,11 d tend to nc�rease <br />__� <br />