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`�� <br />'�� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 Civic Center Drive :• Roseville, MN 55113 <br />Phone: (651) 792-7005 ❖ Fag: (651) 792-7070 <br />CONDITIONAL USE PERMIT <br />(CITY CODE SECTION 1013.01) <br />City Code is available on the Internet at: <br />www.ci.roseville.mn.us/council/city_code.htm <br />❑ RESIDENTIAL PROPERTY OWNER FEE: $200 <br />� BUSINESS/INDUSTRIAL FEE: $550 <br />(Al! fees payable to Ciry ojRoseville upon submittal oJcompleted application) <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers. <br />Name of Property Owner: (First) (Middle) (Last) (Phone) <br />� �-� � 1� , �,-, i- C, <br />Address of Properry Owner.• (No. and Street) (City) (State) (Zip) <br />�'�- 3"� i�''1 i Ce S�r.e.e�-� �c�vi �l� l�l �,� SS f l� <br />,'Vame ofApplicant: (First) (Middle) (Last) (Phone) <br />� 1� � %�► � �--�---� <br />4. Address of Applicant: (No. and Street) (Gity) (State) (Zip) <br />��3�1 'C� � c�z S-hr-e�� ��s-ev � ll e lYll� 5�� <<� <br />5. Street Address of Property Involved: _ <br />a�5q €�� c.� S-tY.� �� �/� � � c� <br />6. Complete Legal Description of Prop erty Involved cP� PID No. (below or attached): _ <br />Jr (� ~ I Z'r�- U�� Q�.z-� -(� 2 3 I r�XivuJ-z�. Gv� ��'����'rl �c�c-bJ • t'a <br />7. State exactly what is intended to be done on or wizh the properry which does not conform with <br />the City Code: , <br />-e.�-.2 �2:� <br />Conditional Use Permit .\pplication Page 1 of 2 <br />