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CITY OF ROSEVnM <br />2660 Civic Center Drive <br />lZoseville, Minnesota 55113 <br />Please check i-1111 or items for which you are <br />apply <br />$750 <br />rehensive Plan Amer�nent <br />�100 <br />$ 750 <br />PUD $300 <br />�on� <br />_ <br />X_ Division <br />Relocation <br />of Platted Lot <br />of Dwelling <br />100 <br />$200 <br />_._--- <br />Special Use Permit $ 200 <br />$200 <br />— <br />Variance <br />to Zoning <br />$ <br />$ 50 <br />Vacation of Riot -of -Way <br />$500 <br />— Shoe pest <br />— <br />preliminary and Final Plat <br />or printing in ink* <br />Please ccet�lete form by tYp� information to <br />the provided are <br />If �� <br />the proper item rmm�ber s : <br />insufficient, use additional sheetskeying <br />F. <br />St. Louis <br />one <br />1, <br />Lorraine <br />e <br />ame o - <br />Roseville,(Zip) <br />Minnesota <br />55113 <br />2. <br />218 5 St. Croix Street(State) <br />and Street) <br />(City) <br />Address of Owner: (No, <br />F. <br />St. Louis <br />3• <br />Lorraine <br />(First) <br />(Middle) <br />(fit) <br />(Phone) <br />Name of Applicant: <br />55113 <br />2185 St. Croix Street <br />Roseville <br />Minnesota <br />(State) <br />(Zip) <br />4. <br />Address of App licant:(No. and street) <br />(City) <br />Roseville <br />Minnesota <br />551.13 <br />5, <br />2185 St. Croix Street <br />Involved: <br />Street Address of property <br />' <br />Involved: <br />The North Half Minneosta <br />the st <br />6. <br />Cc�lete Legal. Descr - on of Property <br />3 Todd: Outlots <br />Ramsey County , <br />237 feet of Lot-4 Block <br />November 22, 1950 <br />7. Date Property Acquired• R1 <br />Residential 9. Present Zoning. of Property • ----- <br />t Use of property- of Property: R T <br />8. prop Use of �: Residential Zoning <br />10. Present C,,Vrehensive Plan Designation: <br />proposed ccffprehensive Plan Designation: <br />e makes this request ? Owner desires to divide the <br />11. What plan or _ _. _ r a +- p n,i r r_ e 1 s . <br />effect of the Proposedchange? (For example, on property <br />12. What is the expec--ted ) <br />values, health, safety, parking traffic conditions, etc . <br />None <br />