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SP„ECI�.L LSE PERI�L�T <br />, APPLICA�ION r"-1�R SPECI ER�fIT <br />�� UAiDER, Z�iE ZONIPdG ORDIN �"CE <br />ViLLAGE OF RQSEVTLLE, i•�NNFS�TA <br />df� � <br />Fe e : ,�,5 . 00 P'` ��� �'� �,�, <br />� Case� No.: <br />Directions: Fill out this f'orm in duplicGt� by typing or <br />printing in ink. Tf the spaces provided ai°e insufficient, <br />use additional sheets, keying information to th� proper <br />item number. <br />WESTF�ftN- OIL AND FTJ�L COP�'� <br />1. Name of Applicant: Last <br />227 Colf� Avenue North <br />. Ac3dr��s of Applicant: <br />g,. Schirmer Transx <br />�,...... .... <br />: �.:�l;::rt:r:� of Owner : <br />Co. <br />No. and street <br />st <br />S� <br />Routing : <br />I.D. Clerk <br />Bldg. Insp. <br />Attorney <br />Engineer <br />V. Admin. <br />. •M - <br />Minnea olis 55�05 Niinnesota <br />city and zone,� state <br />rst <br />middle <br />111.}5 Homer St. Paul Minnesota <br />t.�T�ldciress of OwnQr : no and stre�t cit�T and zone state <br />S. W. Corner Count Road ��C�� and Lon Lake Road <br />. Street Address of Property Tnvolved: Tract A of 'recorded land survey �0 as recorded <br />in, the offa.c� of' Registrar of Tit].�s, Ramsey County, Minnesotao <br />o Legal Descrip�.ion of Property Involved; <br />7. Present Zonin�; District: <br />. <br />Zon7.n� Ordinance Section � <br />�uthorizing Special Permit: <br />�$a�t Ssrvice station and cafe <br />9. Present Use of Property: 10. Proposed Use of Property <br />See letter. <br />11. De�cription of Request: <br />�tritten statement on proposed use of' property. (2 copies) <br />Plan of proposed develapment �� copies) <br />N o adverse effect. <br />12. What w1.1.1. be �he effect of the proposed 'usc oii the he�.lth, safety, and welfare of <br />occupants of surrounding lands? <br />No adverse effect. <br />13. What will be the effect on existing and anticipated traffic conditions, including <br />parking facilities on adjacent streets? <br />Increase values. <br />1. What will be the effect on praperty values in the surrounding area? . <br />l. Aaknawledgment and Signature: The undersigned hereby represents upon all of the <br />penalties of law, for the purpose of inducing the Village of Roseville to tak� the <br />action herein requested, that all statements herein are true and that all work <br />herein mention�d will be done in accordance with t e r�li ances of the Villa e of � <br />Rosevi.11e, and the laws of the State af I��innesot � L����,�� d. <br />Date ,_ �- /`7 -�� Si�nature �i..�����_.,, / <br />