Laserfiche WebLink
CITY OF ROSEVILLE 2660 Civic Center Drive Vz-�e # lt4 <br />3ol <br />Rosiville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />_ Rezoning <br />$100 <br />Division of Platted Lot <br />$50 <br />_ Special Use Permit <br />_ <br />$100 <br />Relocation of Dwelling <br />$50 <br />_ Vacation of Right -of -Way <br />_ <br />$100 <br />Variance to Zoning Ordinance <br />$50 <br />Preliminary and Final Plat <br />_ <br />$100 _ <br />Minor Variance <br />$25 <br />Please complete form by typing <br />or printing in ink. If the spaces <br />provided <br />are insufficient, use additional sheets, <br />keying information to the <br />proper <br />item numbers: <br />1. <br />2. <br />3. <br />Name of Owner: <br />Address of Owner: <br />1e-C."d <br />(First) <br />2 /. 6 & <br />(No. anc <br />Name of Applicant: (First <br />EJ;sor. <br />(Middle) <br />skke /dab, <br />Street) <br />(Middle <br />4. Z b G !o �11. SG► e dQ� <br />Address of Applicant: (No. and Street) <br />5. ll !:4 e lw� <br />Street Address of Property Involved: <br />(Last) <br />v•//e /-N <br />(Phone) <br />S'SI/3 <br />(CIty) (Mate) (Zip) <br />tP -s-s -q qo <br />(Phone) <br />l�� SS'l13 <br />(State) (Zip) i <br />6. Complete Legal Description of Property Involved: <br />L.o f IZ' 91k' 1 zose Bavt L PIn <br />7. Date Property Acquired: <br />8. Present Use of Property:,. Proposed Use of Property:,. <br />9. Present Zoning of Property: eS. Proposed Zoning of Property: <br />10. What platen or cha ge makes thi requestnecessary? _ <br />, , <br />11. What is the expected effect of the proposed change? (For example, on. <br />property values, heal, safey, parking, traffic conditions, etc.) <br />Cw4w�c�A e5:irc� <br />