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<br />S?EC7AI. US.� rERI� � � L�' �1 �� a..�-
<br />,��;�C�TION FC�R SPECiAL PE�IT Z`�ase o.:
<br />U�1DF�. �iE ZQNING QRDINaidCE '
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<br />UTLLAC=E ���` R�SEVILLE, i�illd�itESOTA Routing: ;
<br />I . D. Clerk ��:i'
<br />Bldg. Tnsp. _ �
<br />; Attorney '�
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<br />�;., Dixections: Fill out this form in duplicate by typing or Engineeri � �`
<br />�': ° printing in ink. Sf the spaces provided are znsufficient, V. Admin. �'
<br />w�' use additia�al sheets, keying information to the proper ��'
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<br />� ; ; i tem number, � "
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<br />la t3arae of Applicant: L.�st first mi.dd].e ��
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<br />� The iCeller ��x axatian .. ; `�
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<br />�'� � 2, .r;��c3xes� ; of Applicarit: ' No. and street city and zone state
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<br />�;� � 15�,3 �1. I.�rpe�nte�r Avenue, St. Pacal �13, Minnesata 1
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<br />�'� ,3� .,Y.�r�c Qf' Own�r.:. l�st first mi.ddle ;
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<br />a�r {, ,E. �#. S�illmu� �operties, In�. � �
<br />.�° "� ���^ no and street city and zone state � �
<br />j � y t�r�e.tr�s8 of Qwtler : ' a
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<br />,�, , u � �d Cs ��, Paul 13 . Mi:nn�sota � �
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<br />�;; �;�' S�tx�ee�.Addres� af P�operiy nvo v� ; ��
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<br />, ,r�a� � � , -��iuth�t�st �ornex af �oUn� d d , � .
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<br />� ��� : � Le��1. �?ascri�tion "pf �Prnper�y Invalved: . ��
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<br />��*� }��k ��s 4�� and �`i�o an�l :th,e ,�Ioxtherly I7.84 feet . of i,ots Thirty�e and Thirty���vo, Blac�C ' s�;�
<br />�,t; ���:� '3 .,.W�J.lmu� � mesti;s Pla ,�1 �`�
<br />� � , } `"�e ��essn�'�pn�.n�. .' strict: , �oni�.ng Or i.nance Saction� r� ��`�
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<br />�^ - Authoxizing Spec3.aJ..P�rtn�i.t: � i ,-�
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<br />�' ; , �� ,; �.�.,, Sec�i,on 8.060 ` s-0� �
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<br />`� x � . ; : ;° . .
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<br />� 9, F,r�sent �ilss of 1'�aperty: Ip. Proposed Use of Prope�ty
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<br />E{; �� �.1. De�cr.iptian of �C�qusst: ` , '#' � ;
<br />` �'�i�itten `statemerit on proposed use a£ property. (2 copies) ° d=�`�
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<br />'=7 Plan of pr;oposed development'(� copies) 'y.
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<br />t�<�t' y'�'���t-wi � be the �ffect o�' �he Froposed use �n the hea th, safety, and we1�'are��o �` }; .
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<br />� �� ` , , c.�cupants of . �iarrounding lands? '�
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<br />'n='� .�hould `hav� na.. detximer�tal �i�ect, ` � ;
<br />°`` � 3.�. 1` 1r+�at ,,will 'be the �ff�c't .on 'existing arid 'an;:, �ipated traffic c"ondi�tians, "�.ricludir�;� ;; ,��, �
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<br />��: � ,; �pa;'^ki.ng facilit�.es on ad jacent streets? '' s��'
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<br />����� ' � :��hs�uld l�ave no detrimen�:al ef�ect. .
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<br />�i 4`� ,.; � a:� be the ei'fect on property value s in the surxounding area? "s
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<br />��r F �. b�` Ack-nowl.edgment arid Signature: The und�rsigned hereby represents; upon'al� o�' the ���
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<br />�'V� !': penalt3.as, of "7.aw, '�or the purpose of inducing the Vi7.l.�ge af Rpseville to take .th$ ;,F �
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<br />w� � �c�:� o� -Yierein requested, �ihat a1:1 statements � herein are true and that all work: :; u�.
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<br />� : h�re�:n mer �ioned wa.11 be done in accordance wlth the ordinances of the Village of �
<br />� ,� I�r�se�.13e,,.and the laws of the Sta�e of Minnesota ,� d�
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<br />���"��� ` `ij�#a�,e ,.��i� �:G � .. . . . � Signa-�ure /Z@-� -- -- - � .�y= "�s��
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