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<br />S�'ECIAL_ USE PER1�fIT � Case No. :
<br />t�PpLICATION: F1�R �pECI�,I. PE�
<br />�NDER �iE ZOAIING ORDII��II�GL -
<br />Routing: �
<br />ViLLAGE QF R4SE�ILLE, i�SI1�NF�dT� I.D. C7.erk
<br />Bldg. Insp.
<br />� Attorney
<br />, ; ,. En ineer
<br />�' T7irections : Fi11 out this f'orm in du.plicate by typing or g ...—.
<br />printing in ink.
<br />If the stiaces provided are insufficient, V. Admin. �,
<br />use additional sheets, keyirg information to tne proper _
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<br />1, .Name..o� APplicant: L.ast
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<br />cit and zone sta�e 5
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<br />�3��r�z ;,;�txeet Hdwr�s`s of Property Involved. f/ �
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<br />����`" °",Y� T' :I,e a7. De :cripta.on of Pro ert Involved: T �/e�J>�" /`.� �: ,�e�'� � p 7�'� ,�,,,;r, ,/ r
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<br />���, > '�. ;Px,e�e�'t Zor��.ng s�rict. Authorizing Specia7� Permit: . ' ' ', .
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<br />��=�µ' S ; 1Qe �roposed Use of Pxoperty `�
<br />� � q " Pres�nt ,Use af Property: ' ;
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<br />��� 1 .; Descr�.p;tian i Req`�es�:
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<br />�w.,..��, ,'; � ' y�,rit�en sta�Gam�nt �n p.r.oposed use of property. (2 copies) i,ri
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<br />�y t�t�t5 ,Plan: of proposed developmen� (,� copies) :
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<br />�'� 3 l, Trlhat, will be the effect of tha` proposed use on the health� :;safety, and.weifare: vf � ,
<br />�}�� occupants of surrounding lands? '
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<br />s� ,{,,, i3. y�at, wa.13. be he �f ect on exi_sting and anticipated traf'fic conditions, inc]�udzn� `:
<br />:�� ,,'. pa�^k�i.ng �acilities an ad jacent streets?
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<br />,, ' �7' , `.''�`�`tG2 4 roundin area?
<br />�� R. �� , 1,�. Wha� will b e' e fect on property values in th., sur � '�,��' G2'�ll� �-.�
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<br />;ti�,, 1,;'Aaknowled;�ment and Si a ure: The undersigned reby represents upon'a11 0� the
<br />;��� ,penal.ties of law, for the purpost of inducirig the Village of Rosevilie to take tha'
<br />;.4', action herein rec�uested, that all statements herein are true and that all work
<br />' 'herein mentioned wi11 be done in accordance with the ordinances of the Village o�' ,
<br />�� ,� Roseville� and the laws of �the State of �iinnesota /!� ' �
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<br />`�� ` .:. �� ��Signature�� ����. � 1
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