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..� <br />� � <br />� <br />���� <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 :• Fax: (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: $250 <br />❑ BUSINESS/INDUSTRIAL FEE: $550 <br />(All fees payable to City of Roseville upon sub�nittal 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 P�°operty Owner: (First) (Last) <br />� t� L� L �� ��%i��t� ���' � 1 l'�f c,; _` _S c3 i �: ) <br />2. Address of Property Owner: (No. and Street) (City) (State) (Zip) <br />� % � // sl •� <br />�1 l ,- � <br />� � : ) � i i! � Cx � /L�1 "' %� " i ✓-+2 / � `�-�7�(1 .' Ll F� �LI /i J J ' S/� � <br />3. Name of Applicant: (First) (Last) <br />� <br />5 <br />� <br />7 <br />����� � � S c, ��� � <br />Address of Applicant: (No. and Street) (City) (State) (Zip) <br />L� c� s c�4 v/,o v� �� �r �QR.��r� o,�r s��, c� v� ��/1� s�S,v y i <br />Street Address of Property Involved.• <br />l`�v l L.�= k��v�-1 v i� �V� �ii. Rr�se ���c�� /�'1 iv �_�' /� 3 <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br />� -- � <br />� �7 c�_ /.S 7� ' . � ` <br />r'. I.: i A ; � <br />State exactly what is intended to be done on or with the property that <br />Permit: <br />D�� -1 �t�i� e�� � C � o�e <br />� <br />Conditional Use Permit Application Page 1 of 2 <br />f_ - s�� ��_ <br />>z z3 �Q3o <br />ondztiona se <br />