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� <br />�PEC� i�E PERMIT <br />�'I.ICATII'lN F0� SPECIAI. PERMIT <br />.: <br />UND� THE �OI1IN(� QRDINANCE <br />�,: <br />VI1�At3T �F ROSh'V�E� MIId�1ESOTA <br />� <br />Directions� F`ill aut this form in duplicate by typing� or <br />printing in ink. If �he spaces provided are insufficien�, <br />uae addi,tional sheets, keying information to the prope^ <br />item nwnber. <br />f� ��.6��� <br />Fe� • -�:'0�"�/c+�o . oa <br />. _ <br />C�se No.: <br />Routi.ng s <br />I�D. Clerk <br />Hldg, Insp.,, <br />Attorney <br />E:�f.neer <br />V. Admin. <br />�. Naun� of Agplicant: I.ast Ffrst Middle <br />� �C�b �� �e i�ee l+1r <br />� <br />2. Addreas of App3icant: No. and Street City and Zone State <br />�.6 �tq�+�s �i�1„ �asota� . <br />�� <br />�. : t�: - , - . .. <br />'7.' Present Zoning District: " - .." . � Boning Ordinance Section <br />� , - Authorizing Speci�al Permit: <br />� g ` <br />� . . , `� . <br />9. Present Uss o£ Property: �- 10. Proposed Use of Property <br />,n <br />� �fl�� ��� L� C�•' �r,�„ - — <br />f <br />.11. D�.�,cription of Request: . , <br />'Written stat�emettt on propose� use o� property. (2 copies) <br />;'� ,� Plan of propo�ed development (5 capies) <br />, <br />� . _ , ._ . _ ; <br />.;* ".` <br />What -will be t,he ef.�ect of t�e proposed use on tha ealth, safety, and �relfare of <br />�:' :. � . � <br />�= :� occ,upants of surro�anding lands? � <br />-:; � <br />�� ; _ . <br />'v �..,.. , _ , <br />�� : l3. ir�hat �rill bP tphe �ffect on existin� and anticipated traffic condi.tiona, �nclud�.n� <br />�, , . <br />,_., pa'rkirig' fac�„7.ities on adjacent �treets? <br />���_ <br />{ �. ,.r ... ..� . .. <br />� Name of Owne,r a ( Last ) � <br />. Address of Owner: (No, and Street) �(City and �oneJ ��ti�tie� <br />�t it��i�w,a, ��tt�l�a�,� M��� <br />�treet gddress Qf Property Involvedi ' � � <br />��: <br />,: <br />,� , <br />� � . � . .� . . � <br />