Laserfiche WebLink
CLTY OF ROSETnTF <br />2660 Civic utter Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />OXAA� sp 2.6 (OCS-9 <br />PUD <br />$750 <br />C7ouiprehensive Plan An ..nt <br />$750 <br />X Rezoning <br />$300 <br />_ Division of Platted Lot <br />$100 <br />Special Use <br />Permit <br />$200 <br />Relocation of Dwelling <br />$100 <br />Vacation of <br />Right--of-May <br />$200 <br />Variance to Zoning Ordinance <br />$200 <br />Preliminary <br />and Final. Plat <br />$500 <br />Shoreline Permit <br />$ 50 <br />Please complete <br />form by typing <br />or <br />printing in ink. If the spaces provided <br />are <br />insufficient, use additional sheets, keying information to the proper item mm**.rs: <br />1. <br />QOr e <br />Reiii".4' <br />Name of Owner: (First) <br />(Middle) <br />( t) <br />(Phone) <br />2. b / 1-�ei'n el Df- <br />/`cam . <br />Address of Owner: (No. and Street) <br />;* <br />(City) <br />(State) <br />(Zip) <br />3. "Ldr e'n c¢- <br />A <br />91%.e,2 G <br />V9 - /:l <br />Nanw_ oY- Applicant: (First) <br />(Middle) <br />(Last) <br />(Phone) <br />4 . Me Ca rroh s <br />91d PLs-,w le - <br />Address of Applicant:(No. and Street) <br />(City) <br />(State.) <br />(Zip) <br />5. <br />Street Address of Property Involved: �,(�� <br />6. Camplete Iregal Description of Property Involved: see CCX7Ztd. p.2 '�F6onS <br />7. Date Property Acquired: <br />9P <br />10. <br />Present Use of Property: T Gc ca,,d' <br />Proposed Use of Property: tK <br />Present Comprehensive Plan Designation: <br />Proposed Cornpreiiensive Plan Designation: <br />9. Present Zoning of Property: S C <br />Proposed Zoning of Property: - <br />changeii. What plan or makes this requestnecessary? <br />12. What is the expected effect of the proposed change? (F- :example, on property <br />values, health, safety, parking, traffic conditions, etc.) <br />