Laserfiche WebLink
4 <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 <br />Special Use Permit $100 <br />Vacation of Right -of -Way $100 <br />Preliminary and Final Plat $100 <br />_ Division of Platted Lot $50 <br />Relocation of Dwelling $50 <br />Variance to Zoning Ordinance $50 <br />_ 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. <br />Name of Owner: ( rst) (Middle) ('Last) (Phone) <br />2 . <br />3 <br />to (O l l zlt e" off% 4f? S^ 00 <br />Address of Owner: (No. and Street) (City) (State) (Zip) <br />3. <br />Name of Applicant: (First) Middle) (L t) (Phone) <br />4 • <br />14 'Y" J° X <br />- <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />5. <br />Street Address of Property Involved: <br />6. <br />Complete Legal Description of Property Involved: <br />7. <br />Date Property Acquired: / 5lS D <br />8. <br />Present Use of Property: )Y WE- Proposed Use of Property: W--JN-'' <br />9. <br />Present Zoning of Property: Proposed Zoning of Property: -- <br />.10. <br />What plan or change makes this request necessary? <br />11. <br />What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />