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Sp'�CIPZ LSE PERr1IT <br />� � AP'PLi.CA'IION �,OR 3PECIl�L PER� <br />� ��� <br />UNDF,R, TH E ZON I�1G ORDI tvANCE <br />VILLAGE OF RL�SEVILLE, �fiINNESOTA <br />Directions : Fill out thi.s f'orm in duplicG�e by typin� or <br />printing in ink. If the spac�s provided are insuificient, <br />use additional sheet�. keyin� inf'ormation to th� proper <br />i tem numbar. . <br />Fee : �5• 00 <br />� ase No.: <br />Routing; <br />I.D. Clerk <br />Bldg. lnsp. <br />Attorney p <br />Engineer <br />V o Admin. <br />l. Name nf App icant: Last <br />' p first rr�iddle <br />2 , ."..�.;d.r�:ss of' Applicant: <br />�� .�;,�� of O�rner . <br />..� , <br />� l��dr�ss of Owner: <br />i�Io. and stre�t <br />last <br />no and street <br />St.re�t Addr'�ss of' Property lnvolvea: <br />S of SW� of 5���-2��2 -� <br />Legal Description of Property Involved: <br />R 1 <br />7, pres�nl, Zanin� Uistrict: <br />It has no use untia.l <br />. Present Use of Property: <br />city and" zone <br />irst <br />city ana zone <br />state <br />middle <br />state <br />Zoni_ng Ordinarice 5ection <br />Aut�lorizing �pecial Permit: <br />10,��Propos�d Use of Property <br />and <br />but <br />11. <br />�r�av�l also emplo��.n� tine use v� � N�� <br />Description of Request : riOt � hOt mi�C PI8Ylt • <br />Written statement oli propc>sed use of property. <br />See �tt�Cl�ed 18tter. <br />Plan of propos�d development (5 copies) <br />No ac�verse effect. <br />(2 copies) <br />� y�Ihat will be the eff�ct of th� proposed use on the ne <br />occupants of su.rroundi.ng lands? <br />No ad�rers� <br />13. What will be the effect on existinb and anticipa�tea Lrail�c LVilU1l�1V�1J� �il..�-��y•.b <br />parking facilities on adj�ceni. 5treets? <br />It wi.�.l incr�ase the n�►lue of t�iis �,o ert b meaz�s o� facilitat3.n <br />1, What will be the eff'ect on property ae ���� a ea thr�ugh�TemOval Of exC�s� <br />development i�to � First cl�ss resi <br />materi�l. <br />1, Acknowledgment and Signature: The undersigned hereby represents upon all of the <br />penalties of law, for the purposa of inducis�he.rein1are�true andethateall work the <br />action herein requested, th�t all statement <br />herein mentioned will be done in accordarice with the ordinances of the Vil�age of <br />Roseville� and the laws of the State of i�linnesota�� � <br />Date ��� _�� � �� � Signature / <br />1' '.i�j' ���0� <br />�ffe�to <br />:,, safety, and welfare <br />� .., . ,a � ,� � <br />