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- CITY OF ROS1✓VILLF <br />2660 Civic Center Drive 1� <br />Roseville, Minnesota 5511:3 (12� <br />Please check item or items for which you are plying: <br />Rezoning $1 _ Division of Platted Lot $50 <br />X Special Use Permit Relocation of Dwelling $50 <br />$1 <br />_ Vacation of Right -of -Way Variance to Zoning Ordinance $50 <br />Preliminary and Final Plat $100 — Ml.nor Variance $25 <br />Please complete form by typing or printing in ink. If the spaces provided <br />are insufficient, useradditional sheets, keying information to the proper <br />item numbers: <br />1. Good Neighbor Inc. <br />Warne or owner: <br />(First) <br />2. 2177 Youngman Ave. Suite 200 <br />Address of Owner: <br />(Middle) <br />(Last) (Phone) <br />St. 1aul MN <br />No. and Street) (City) <br />(State <br />55116 <br />(Zip) <br />3. Good Neighbor Inc. 698-6544 <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />4: <br />5. <br />6. <br />2177 Youngman Ave. Suite 200 <br />Address of Applicant: (No., and Street) <br />St. Paul MN 55116 <br />(City) <br />1391 W. County Rd B Roseville, MN <br />Street Address of Property Involved: <br />Complete Legal Description of Property Involved: <br />Woehrale's Addition , Lot 10 —Block 2 <br />(State) (Zip) <br />55117 <br />John E. Tracy, owner <br />7. <br />Date Property ,squired: March 1, 1987 <br />8. <br />Present Use of Property: Residential Proposed <br />Use of <br />Property: Adult Day Cane <br />9. <br />Present Zoning of Property: R.I Proposed <br />Zoning <br />of Property: S Penrii.tUse <br />10. <br />What plan or change makes this request necessary? <br />a maximum of 10 elderl.y persons through an Adult <br />Good nei hbor wiil be <br />Day Care w is is a <br />non-ina_titutional ambulatory care program <br />it requires a special use permit <br />As in <br />children's day care, <br />11. What is the expected effect of the proposed change? (For example, on <br />property values, health, safety, parking, traffic conditions, etc.) <br />We do not anticipate any increased traffic or parking problems as GN <br />provides transportation for clients. There will be minor renovations <br />on the interior of the home such as widening doorways. <br />