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�., <br />� <br />���� � <br />��� <br />.J L% <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive s• Roseville, MN 55113 <br />Phone:(651)792-7005 : Fax:(651)792-7070 <br />CONDITIONAL USE APPLICATION <br />CITY CODE SECTION 1013.01 <br />www.ci.roseville.mn.us <br />❑ RESIDENTIAL APPLICATION FEE: $300 <br />❑ COMMERCIAL AYYLICAT'I01Y i+EE: $6UU <br />('Fee should be made payable to City of Roseville upon submittal of completed application.) <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: � � � <br />Company name: � <br />Last name: �� �j5 {�1,� � � First name: � <br />Address: � �_��f�_�,'�` ��1�i�1ty/State/Zip: � <br />Phone n�umber: ��� j�_�� Eniail address. � <br />2. Applicant Information: (f different froni above) ��� <br />Company name: <br />Last name: <br />Address: <br />Phone number: <br />First name: <br />Citv/State/Zip: <br />Erraail acldress: <br />3. Address(es) of Property Involved: (�different from above) <br />���/WL.� <br />4. Zoning Designation: � <br />5. Comprehensive Plan Designation: ? <br />� <br />6. Statement of Intent: Briefly describe what will be done on or with the property requiring the <br />Conditional Use approval. � , _ <br />�a . .. . � n . � _ � ., . � .. A � r t �. .. � . � � <br />� <br />Conditional Use Application Page 1 of 2 <br />0 <br />�3 <br />„'t'Cj � <br />