Laserfiche WebLink
CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items 'tor which you are applying: <br />Rezoning <br />$100 <br />_ Division of Platted Lot <br />$50 <br />Special Use Permit <br />$100 <br />_ Relocation of Dwelling <br />$50 <br />_ <br />Vacation of Right -of -Way <br />$100 <br />Variance to Zoning Ordinance <br />$50 <br />Preliminary and Final Plat <br />$100 <br />_ <br />v Minor Variance <br />$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: <br />2. <br />Address of Owner: <br />3. T ; ).i <br />Name of Applicant: <br />rst <br />(c \, <br />(Middle) <br />(Last) <br />� f l�- l 1 1 ;z- <br />(Phone). <br />� 0 V 7 <br />(Zip) <br />(Phone) <br />4 . / � 911 S ;� ;j ''Ot /y • P / V )n- a ,/ T % P r )7 " 5 LA l/- 7 <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />5. w C K I" C h rye 0 rn 6) 9 i � �' �r,1.� <br />(No. and Street) <br />of <br />first) ('Middle) <br />Street Address of Property Involved: <br />a rl 7- Nf i <br />(City) <br />14aq]2y- <br />(Sta.:e ) <br />(Last) <br />6. Complete Legal Description of Property Involved: <br />e' ,e 19 ,k- 1'b y 3 3 b <br />5_a_i h_7" Pa u 1 pa—�— <br />7. <br />8. <br />9. <br />10. <br />11. <br />: 6 ..`f , 70 -r-1, r ; , h-t- , e ,,-, r-,i .r -) u h I,',, a r e a S � w., <br />Date Property Acquired: <br />Presen� Use of Property: Proposed Use of Property: haA4 <br />Present Zoning of Property: Proposed Zoning of Property: <br />What plan or change makes this request necessary? <br />b .o� <br />What is the expected effect of the proposed change? (For example, on <br />property value health, safety, p%king,traffiF conditions, etc.) <br />