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�� <br />SP�IAL i�►E PER1�T <br />App?,ICAZ`�ON F0� SPECIAL P�T <br />UNDd�t TI� ZO?+TINt3 OR.DINANC$ <br />QILLAG� CF RO�EVILLE, MINNESO'�A <br />\J <br />Directions: Fill out tllis farm in duplic ate �y typin� or <br />printing i.n in1�• Ii th� sPaces pravided are insufficient, <br />use �dditional si�eets, keyir�g informatior� �o the prop�r <br />item rrumber. <br />1. Name of Appl�canti: �� <br />t <br />2. Address of Applican : <br />_ � <br />3. Name of Owners <br />. and Street <br />s of Owner : lNo• an� .� �l � <br />ln �.�► T n vi �-- <br />� Addres� of Proper�ty Involved: <br />on <br />strict: <br />ved <br />Fee: �25.00 ���a �' <br />Gase No.: <br />Routing: <br />I. D. Clerk <br />Bldg. Insp. <br />At�orney <br />En�;ine�r ______ <br />V. Admin. _ <br />�,�.,_y��� <br />�� <br />. <br />�e <br />Fi...Hst <br />�1� <br />Cit� and Zone <br />T � � <br />Yr st <br />� <br />� <br />,te <br />0 <br />0 <br />� Lt r� t�. U 10 �d- v <br />Zoni.ng Oi'dinance Section <br />Authorizing Special Permit: <br />, , �er ' <br />� e� <br />- --- Pro ose Use of Property ,��h.�o��` <br />9. ee�nt Use of Property: <br />0. P <br />C V f � <br />V <br />ll. script' o� Request: <br />Written st�tement on pro�osed use of prop�rty. �2 copies) <br />_. Plan of proposed develop�nent t5 copies) � ��o �. �o• - <br />� Gt" <br />'� at wi_ e the e ect of t�e op ed tise on i;he health, safety, and welf�re of <br />� ` 12. �� • ds? <br />' ` occupants af surrounc�ng la�n <br />c� d • � ,s �t°E'�s <br />• 4 d antici ated traffic conditions, including <br />, 13, y�at y�,�,l the effect on exis p <br />. �ya�.kiang fac�.lities on adja.cent streets? <br />i _ . <br />:;1:-.. _ . .. _ <br />� °-:.. � . " � . . � . . � . <br />