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— ,.. <br />__ ��� ������]� <br />� <br />COMMUNITY DEVELOPMENT JUL S 1. '1007 <br />2660 Civic Center Drive s• Roseville, MN 55113 -� <br />Phone: (651) 792-7005 ❖ Fax: (651) 792-7070 B _ <br />Y <br />CONDITIONAL USE PERMIT <br />(CIT'Y 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: $250 <br />❑ BUSINESS/INDUSTRIAL FEE: $550 <br />(Al! jees payable to City of Roseville upon submitta[ of completed applicalion) <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 />1. Name of Property Owner: (First) (Last) <br />1�1 a���2. P��.z2��►.�.� <br />� - <br />2. Address of Property Owner: (No. and Street) (City) <br />0 <br />3. Name ofApplicant- (First) (Last) <br />\ �.: _ _. ,, \ _ C7 _ „n V \ —.,.�- <br />(State) (Zip) <br />4. Address ofApplicant: (No. and Street) (City) (State) (Zip) <br />., ,c � � _ � � �1� _ . _ _ . _ <br />E <br />� <br />7. <br />Street Addressbf�'roperty Irrvolved: <br />e Ss <br />Complete Legal cription of Property Involved & PID No. (below or attached): <br />� � S'� � #� • <br />State exactly what is ' ended to be one on or with th roperty that requires a Conditional Use <br />Permit: <br />Condiuonal L se Pernut .lpplicarion Page 1 of 2 <br />, � <br />