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<br />S�ECIAI, U5E P�T � � ;.?,� .� : Fee : �. 00 ` �'F ���'� ;
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<br />i�I��' FOR SPEC �'ERI�IIT � . ,
<br />l II
<br />'' '.: y UNDER Tfi.E ; ZONING ORDI P�CE
<br />� Routing: � ,'
<br />: i1�LLAGE OF �ROSEVII�LE, ��NNESOTA Z.D. Clerk � J k
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<br />Attorney �
<br />> Directions: Fill out this form in duplicate by typing or Engineer � -
<br />�;prin�i.ng � n ink. If the spaces provided are insufficient, V. �.dmin.
<br />.`u�e,additianal sheets, keying information to the proper
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<br />: stem; number, : ;
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<br />'��� �'ide�ri�ki Bdward {
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<br />' .1. Name `o� Applicant: l�ast ,
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<br />i�' f� 3�6 W. �Vagner `8t, • Sta�b ��
<br />F ' 2a <A dre�s of.' pplicant: . No. and street oity and zane �,.
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<br />� T�dward ,. ,
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<br />`" � ..�w�me of Qwner: last �
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<br />r:r+t �8B �`. ,�la er. s�, st Paui 13 �;
<br />;`" T` no and street city and zone state �, 4: `,
<br />i:' 4 �. `�.ddress of Owner: 7 q
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<br />'� � ' ' ;`Street. Addreg� of Property nvolve :
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<br />;r � � ;�,e�al Desar�:p�t�.an of Prope�ty Involved: , ' �
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<br />� ,� � � , Zoning 4rdinance Se�tian
<br />�'' �� 7: ,; Pxe�ent. 2onirig �.striat; : Authorixing S�ecial Permit:
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<br />� � 10. Proposed Use of Praperty' ,, �
<br />�� > 9. : P�resent ,Use of Prop�rty: _ . � .
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<br />' '�:�'aaant flrive In
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<br />;µ> 11. Des�ription bf ftequest:
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<br />�'�' � Written �tatement on proposed uae Af property, (2 cop3.es) : :
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<br />�� ��Plan of proposed development (5 copies)
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<br />` y,mat w�:, e the e:ffect o the propased use on the health,, �afety, and welfare: of `
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<br />aacupant� of.�urrounding lan�s?
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<br />' ' N�ne;
<br />; 13, t,�iha�t wi11 be the effect on existing and anticipated traffic conditions, 3:ncludin� ,.
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<br />; pa�king facilities nn ad�acent stxeets?
<br />', No rn�ateria.I �,7°�ect
<br />�, What,wi�ll be the effect"on property values in the surrounding area7
<br />�es. attachm�nt :
<br />' 1, Acknowledgment an�l S�.gnature: The undersigned hereby rep.resents upon a11. of .the
<br />;, pe'naltie�s of law, for �e purpose af inducing the ViZ1ag4 oi Roseville to talCe the;
<br />`' - satian' h�xein requested, tYiai a11 statements herein are true and tliat a�.l work .
<br />hexe3:n�:men�ioned will be done in �ccordance wi�h the ordinances of ihe Village of
<br />Roseville� and the laws of the State af Minnesota
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