Laserfiche WebLink
• <br />v <br />CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />^ Rezoning $100 _ Division of Platted Lot $50 <br />_ Special Use Permit $100 Relocation of Dwelling $50 <br />_ Vacation of Right -of -Way $100 J<Variance to Zoning Ordinance $50 <br />_ Preliminary and Final Plat $100 Minor Variance $25 <br />Please complete form by typing or printing in ink. If the spaces provided <br />are insufficient, use additional sheets, keying information to the proper <br />item numbers: <br />1 - R Q,,�,L <br />Name of Owner: (First) (Middle) (Last) (Phone) <br />2. " 1 U rr1 rr, e r- <br />A s of Owner: (No. and Street) (City) (State) (zip) <br />Name of Applicant: (First) (Middle) / (Last) (Phone) <br />4. <br />Address of A plicant: (No. and Street) (C/ ty) (State) (Zip) <br />Street Address of Property :Involved: <br />6. Complete Legal Description of Property Involved: <br />7. Date Property Acquired: <br />8. Present Use of Property:Proposed Use of Property: <br />9. Present Zoning of Property: la --Proposed Zoning of Property: <br />10. What plan or change makes this request necessary? <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health., safety, parking, traffic conditions, etc.) <br />