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:,'.-. i' � .�. M, �."..�.'il b � �? r ; ^�,, � Q�'1 <br />� � a . � <br />tt�'PL ��1�.: I�P� r��� �F�i�i. �r:c:'IT ase +vo. . <br />;' i�iD�:ct T�i �, 'L�f•; I?rJ Qn::�1. �;� ',CE -- <br />VTLL,'��":E 0'r' �C��'JiLL't�., .`.I.r'i;�OTlti <br />D�rections: Fill out thi� ��orm in c?�c�Y��,r:t.E� by t��,in�, or <br />pri�tin�; in ink. If the spac�� �rovidec� ��re insul z`:i.�ient, <br />use additional. sheets, k�,yin� in�'ormatiot� tc� tcie proper <br />i t�� number. <br />1. Name of' App <br />�___.���� <br />2. ^, •�ss of <br />, ;�t <br />cant: (Last <br />cant: ( i�dn. and strer� <br />s <br />first <br />lls <br />r�outing: <br />I.D. Clerk <br />Bld�, inst�. <br />AttornP��• <br />�,n�ineer <br />�� <br />. r, min. <br />cit,y and zone <br />mi d dle <br />� <br />, <br />�� ,�. ; , � o���mer : last first �m3.ddle <br />�ota <br />state <br />�.! .�^�';,-�ciruss of' Owner � no and str�et city and zone state <br />. Street Address of' Propert,y Invoaved: <br />. Legal escripiion of' Property I.nvolved: <br />�.��iai.i�a�nr��� . ��-d6e l,'�'i30 <br />7. Presen� Zonln;; �i��llc�: . �oning Ordinance Section <br />Authot•izing �pecial Percrzt: <br />9. Present Use of Prope"rty: <br />� �;'' "1 <br />i� c_.•' • � <br />;ulti�le reeidence <br />Proposed ilse af Property <br />veloped �s anultiple <br />, Descrip�ion�of Request: reeidence <br />Written statement on proposed use of property. (2 copies) <br />Plan of proposed developn�F�nt ( 5 copies) <br />1' . What will be the �ff'�ct of the proposed use on the health, safety, and welfare of <br />occup�nts of surr�ounding lands? No at%verse effect aatieipated ae accese i� <br />residenee <br />fr� Marien ire.tl�r to Larnentu�r, and area ie develeped both �ultiple aad eingl�� <br />13. What will be the effect on existing an� anticipated trai'fi� conditions, including <br />parking facilities on adjacent streets? No prabls■ a.nticipated ae adequate <br />sff etreet pa.rkiz� aill be prc�ided �nd treff�c will enter and exit from <br />�. What wi 1 be the ef'fect on property va�ues in the surrounding area? <br />Adjscent �aluee ehould in�cre�ae a,s property is marginal and top�graphy ie <br />�ur•h �hR� ,�A,��� �nt hA �c�no�c to de4e1�� for ein�;ls fami?y reeidences <br />1. Acknowledgment and Signatur�: The undersigned 'nereby represents upon all of the <br />penalties of law, for the purpos�� of in�ucing the Village of Faseville to ta�ce the <br />action herein requested, that al� staternents herein �re true and that all work <br />herein mentioned will be done in aecordance j�rith the dinances of the Village of <br />Roseville and the ]_aws o{ the State of i'�Linnesota � l% ,� f"1 / <br />� <br />Mareh 26, 1965 <br />Date <br />Si�natu�e <br />Oo by <br />�he Attorney <br />