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r <br />V� <br />Case No.: <br />CITY OF <br />ROSE", I LE <br />2660 Civic <br />Center Drive <br />-Please check item or items for <br />which you are applying: <br />Rezoning <br />$100 <br />Division of Platted Lot <br />$ <br />50 <br />Special Use Permit <br />$100 <br />Relocation of Dwelling <br />$ <br />50 <br />Vacation of right-of-way <br />$100 <br />Variance to zoning ordinance <br />$ <br />50 <br />Preliminary &Final Plat <br />$100 <br />X Minor Variance <br />$ <br />25 <br />Please ccrriplete form by typing or printing in ink. <br />use additional sheets, keying infornation to the <br />1. <br />2. <br />3. <br />4. <br />ier: First - <br />Address of caner: (No, and <br />Name of. Applicant: IFi,-� <br />{diddle <br />If the spaces provided are insufficient, <br />per item nu bars . <br />Me 3 Z-13S <br />Last I f nl,---- <br />�°�. <br />{Stag <br />Last) <br />Address <br />of Applicant: No. <br />and Strt iet) <br />(City <br />Street Address of Property Involved -- <br />6. CaTplete 1ega1 description of .property involved: <br />d7- 7 � f1I C- h J -- <br />7. Date Property Acquired: <br />Sta <br />Phone) <br />8• Present Use <br />of Property: <br />Proposed Use of <br />Property: <br />9 • Present Zoting of Property; <br />Proposal Zoning <br />of Proy <br />10. I hat plan or change makes this request necessary? <br />,t- emirs <br />��CeoogPd� -- / <br />ne- <br />11. Xnat is the <br />expected effect of the proposed <br />clmnge? (For er , znple, on property values, <br />health safe q <br />ty, Parking., traffic conditions, <br />etc.) i/V.W(e <br />_a <br />12 <br />