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1�'��./J►-� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 ❖ Fax: (651) 792-7070 � <br />CONDITIONAL USE PERNIIT <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 />� � � � � � <br />ANK U 4 2007 <br />�RESIDENTIAL PROPERTY OWNER FEE: $250 �� � � � <br />BUSINESS/INDUSTRIAL FEE:-��6`' ��'?�--� �"'�G"� � �" <br />(All fees payable to Ciry of Roseville upon submittal of completed 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 />1. Name of Property Owner: (First) (Middle) <br />r <br />vl � <br />(Last) (Phone) <br />- �a�/ a�a/ <br />2. Address of Property Owner: (No. and St�eet) (Ciry) (State) (Zip) <br />�� a �/ d��w a � �' �¢�� � �� � �.4 � s /�1iv s-S-a �y <br />� <br />3. Name ofApplicant.• (First) (Middle) (Last) (Phone) <br />0 <br />G� <br />Address of Applicant: (No. and Street) <br />Street Address of Properry Involved.• <br />(Ciry) (State) (Zip) <br />� ;�,��� . <br />6. Complete Legal Description of Properry Involved & PID No. (below or attached): <br />!"' <<�/� S <br />7. State exactly what is intended to be done on or with the property which does not conform with <br />the City Code: <br />`„ � r► n.� _ br, ; <br />�-�- �. y�-o ,e 4 s� r,�. �/� <br />Conditional Use Permit .�pplicarion Page 1 of 2 <br />/!� . � 1 I <br />