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<br />ECI�.L .��+i:' �'ER►'�ffT Fe e : � . 00 .- �' , �
<br />SP � Case a.:
<br />.A�.�PLICATIaN FOR SPE� PERi�ffT ��
<br />'-L?NDEft TH E ZONZNG ORD? N�NCE
<br />* ;�.iViVESOTA Routing :
<br />ijILLAGE OF RaSEVILLE, I.D� Clerk
<br />' Blrig. 1nsp.
<br />.Atto.rney
<br />� by t�,p En ineer ____�=__ ,
<br />Dir.ections: Fill out this form in du.plicu R ing or V.�Admin.
<br />r,'„ : printing in �nk. If the spaces �:'ovlded are insufficient, _
<br />` use ad�i��.onal sheets, keying information to the proper
<br />, : i�tem numbe�.
<br />� . Garlc�y �Qn�tructian �o. Gar�', Calvin an� Glaon` -
<br />' iir� t middle
<br />'• I.. N�� of APP�-�-cant: Last '
<br />.. i8'�4 �to��re ��re . , �t . �a.ul, i��inn��so �� . s�ate
<br />� ;, . � �
<br />� 2 y`. .,��c.dress� oi 'At�p7.a.cant: iJc�. and street city and zone
<br />"� � ; , "�ar3.�y, �alvin �,xsd Cleon
<br />, �- : middle
<br />� last _ ;
<br />�' , �� 1:.;�itG� C►� �}}WL1�Y" « ��.x8'�,
<br />; ;:' . ], �7 � � t+O W �3 .+�"`iV L . } � T, . � aU �. ' ' j!'; �. t1T1� 5t� $. �. `
<br />"h " cit and zane state
<br />, r ,;. .�ddr��ss o� :�wner:: na and street Y
<br />104 b3cc��. on Elm.�r �treet ';
<br />` St�'e�t'.:Address f Pr.aperty Invalved: ,
<br />• ��a.e s�e�� 190t �i �_.�� =r:a�°ti� 3C?0' Gf 'l�t 17� Ta�arn.to�s ;�uv.:
<br />1 D�.v . o� �he .�vF�'. l,i �, �ect; an 13, TownsYr3..p.' 2� �;R�.t�.�e2� .
<br />,`t i,ega7., D�scription of Property Invalverlr ',`;
<br />, ;
<br />, e.. '
<br />�'"� r?
<br />,,;
<br />Zoning_Orc�i.nance Section , 'l.
<br />7�w �res�nt Zoning District: � Authorizing Speczal Permi��: '
<br />>x ��,: , � : , ° ..
<br />, <,
<br />4.
<br />-.
<br />�,260
<br />G� . . � � . . ' . . .. . .
<br />r ,' •' 14. Pro�pased Use of Property =' ';
<br />� .. �� ' �� �
<br />' g, ..;Pr�sent Use af Property; s i t e f�ar two 1? un�. ��A� •��-d�� �.�
<br />, , 2 1/2 sto��t in'H�t. �
<br />� � �va��nt l�:r�d
<br />Y ' Desc�iptl.'on of Request: �
<br />11.
<br />Y; ro ased. uss ai property. (2 copies)
<br />Writtren statement on P P '�
<br />�
<br />� ' Plan of.proposed development;(5 copies)
<br />,;
<br />'12 � �What,
<br />wi.11 be �he effect of the propased use on the health� �afety, and �relfare o� , s'
<br />`occupants of surrounding lands? .�h�r� b� nfl a�ve�se effiect .
<br />t�,��,t w�.17. be the effect �n exi.stin� and �nticipa�ed traffic conditions, a.ncl �ls�
<br />13. _
<br />�aarkki.ng facilities on adjac�nt� s�treets? '�h��c t�rill �� 6� ��r�_i�.� s�.
<br />and �dra�,�s or 11 mar. e t�k��a.n. �.re re�~uire� by 1]_,/2 stall�
<br />rata:c� '�ct 1 ��droom �xnit�.
<br />i, inihat will be �he e�'.fect on proparty values in the surrounding area?
<br />S�io�l� rai�e �Yie� a� ��.e l�.nc7 ia �tnke�t �nd �ail� naw�
<br />,.
<br />i Acknowledgment and Signature: The unders�gned hereby,rCpreseRosevplleto takehthe :
<br />^ b penalt�.es of 1aw, ior the purPose of indacir,g the Vil.j.aoe of
<br />action herein requested, that all sta.tements herein are truecesaofhthe Village of '
<br />`'herein mentioned wi11 be dane ;n accor�ance with the ardinan
<br />Raseville, and the laws of '�the State of rlinne sota 7
<br />January �2, 1964 �,,/.
<br />; ���te . _ _ 5� a�ture �
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