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w � � <br />� S�'ECI.PZ �TSE PE. <br />, APPLI CAT IGN r�0 ECI1�L PERMIT <br />. Utv'DER THE ZC�NING ORDIt��IIvCE <br />VILL�IGE OF RASEVIL:LE, ��'iINNESOTA <br />� <br />Fe e : � 5 . 00 <br />� ase rdo.: <br />Directions: Fi11 aut this f'orm in duplic�te by typin� or <br />printing in ink. If the spaces provid�d are insufficient, <br />use additional sheets, keyin� infor�matx�n to tne pro�er <br />item number. <br />Ro�ting: <br />I.D. Clerk <br />Bldg. Ins�. <br />Attorney <br />Engineer <br />V e �i C�f11�.I1 • <br />1. Name of Applicant: Last iirst middle <br />, ;��:d.ress of Applicant: (i�io. and street <br />cit,y and zone <br />�-�--��8��` first middle <br />,3 ; ,ti; T:l� of Owner : las� <br />.�' 1� dress of Owner: �no and'strEet <br />. Street Address of Praperty Invoived: <br />o Lega Description of Property <br />�outheast q�rter{SE4) of Section �, <br />thereof and_ encept that part :l�i.n� � <br />7. Present Zoning <br />I1 to I2 <br />city and zone <br />state <br />state <br />nvolvea:The �1est 500 feet of the east 2075 feet of the <br />Tot�tnsnip 29 N. Range 2� Wo , except the nor�,h 14�6 fe9t <br />�uth of � ljt�? [�f Cn tLr_�t:t� t'�.nad ��(:�� c��hiPrt td <br />strict: C��tv Roa,d "�" ancl • Zoning Ordinance Section"� <br />sub�leet to �ounty Authorizing �pecial Permit: <br />Ditch No. �, 1.0.320 <br />9. Pres�nt Use of Property• 10. Proposed Use of Property <br />lle <br />Motor Frei�?ht Termin��l <br />Description of Request: <br />Written statement on proposed use <br />of' property. ( 2 copies ) <br />Pla�l of propos�d development ( 5 copies) <br />12. What w�i.l be the effect of the proposed use on the health, yafety, and t�relfare of <br />occupants of surrounding lands? <br />No advers�Qf'fPr�� <br />i3� 1�ihat will be the e'ffect on exis�ing and anticipated trai'fic conditions, including <br />parkin� facilities on adjacent streets? <br />. <br />t <br />be <br />e ef'fect on prc�perty values in <br />e surrounding areaY <br />, Acknowl.edgm�nt and Signature: The undersigned hereby represents upon all of� the <br />penaltigs of law, for the purposc of inducing the Village of R oseville to take the <br />action herein requested, that all statements herein are true and that all work <br />herein mentioned wil,l be done in accordance T�rith the ordinan es oi the Village of <br />Roseville, and the laws of the Sta�e of 1�linnesota .-- -_-� <br />, .� _ <br />Date l " � ' � � '�� <br />' � � � �:!-�� 2 ---�,�'L --� -.' � -r <br />S i �natu�= . <br />