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=...�....� � <br />SPEC IAi. {� PERMI T <br />A�PLTCA,TIQN �R SP�CIAL PER�tIT <br />tR++i0E�2 7�� ZONING ORI�IMAIriCE <br />VILGAGE aF RCISEVILLE, MINNESflTA <br />� <br />� <br />�i" <br />Case No.: <br />u;�rect�ons: Fi ou� t s orna n up cats y typ ng ar printing in in . e spaces <br />provided axe insuffici�nt, u�e �dditinnal sheets, keying information to �he <br />�+�a�sr��w <br />propor itam number. <br />J�Y <br />� • <br />��8tf18 O ' <br />a. <br />�s` o <br />3. <br />ame o <br />ao � <br />ress o; <br />5. <br />treet c <br />6. <br />>iiCSnt: (Lastj <br />PP �ant: o, <br />�....... <br />ar: ast <br />0 <br />: <br />es�ription <br />o. <br />� � ����`, <br />roperty nvo ve ; <br />� <br />ree <br />re <br />roperty Inv6lved: <br />7. Present Zoning District ; '� <br />�..�..�.._.e..�...� <br />�Miamae� <br />�� �s-si�� <br />ate lp"� <br />� e <br />ate <br />0 <br />8. Zoning Ordinan�� Section Authorizing Speciai Permit; <br />13 ��� <br />�e�o�ds��r- �c eas <br />9, Presant UsQ Of PropArty: <br />IOo <br />llo <br />Propos�ci Use �� Pr4perty: <br />Description of Request: <br />Written statement on proposed use of prop�r�y (2 copies) <br />�- ,. , <br />.� � �_ , � � � : � ,� � � � <br />,. <br />Plan of proposed development (5 copies� <br />12o What wiil be the effect af the pruposed us� on the healthD safetya and welfar� of <br />occupants of surround�.ng lands? <br />I3. 1�Vhat will be the eff�ct on existin� and anticipated traffic conditionso including <br />parki�g facilit�Qs on adjacent streets? <br />