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Please check item or items for <br />which you are <br />applying: <br />Rzz&tLng <br />$100 <br />Division of Platted Lot <br />$ 50 <br />X <br />Special Use Permit <br />$100 <br />Relocation of Dwelling <br />$ 50 <br />Vacation of right- o.E47ay <br />$100 <br />Variance to zoning ordinance <br />$ 50 <br />— <br />Preliminary Final Plat <br />$100 <br />Minor Variance <br />� <br />$ 25 <br />Please caTlete form by typing <br />or printing in ink. If the spaces provided are i isufficient,-; <br />Use <br />additional sheets, keying information to <br />the proper item n urbrs. <br />1. <br />Donald <br />B. <br />Regan <br />Name of Qmer: First <br />(Middle <br />Last (Phone) <br />2.` <br />2866 White Bear Avenue <br />St. Paul. Minnesota <br />55109.. <br />Address of Omer: (No. and <br />Street) <br />(Cit ) <br />Y (State} <br />(zip}; <br />3. <br />Donald <br />! B. <br />Re qan 770-7700 <br />:x1 <br />Narre of Applicant: (First) �' <br />APp ( rst) (Middle) <br />Vast Ph(one) <br />2866 White Bear Avenue <br />St. Paul Minnesota <br />55109 <br />Address of Applicant: (No. <br />and Street) <br />(City) (State) <br />(Zip <br />r <br />5. <br />1743 West County Road C <br />Roseville, Minnesota <br />�f-rnai- A�r�rocc n F Drrrbri-. s <br />T,,.,,-.l t- A <br />-... <br />