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1�� <br />� � <br />COMMUNITY DEVELOPMENT DEPARTMEN'T <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 790-7005 FAX: (651) 792-7070 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br />CONDITIONAL USE PERMIT APPLICATION <br />(CITY CODE CHAPTER 1013) <br />❑ RESIDENTIAL PROPERTY OWNER FEE - $200 <br />�, BUSINESS/INDUSTRIAL FEE - $350 <br />(All fees payable upon submittal of completed application) <br />�� <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 />le Name of Owner: (First) (Middle) (Last) (Phone) <br />CZps� t-}il.L Al-I.I�GE cltvtZ�t�l <br />ATTN :��(Z`� �4°tL� DE L.l.. ,�LD Cr� . G l-�e4r't 12 Cv S 1. C.o � I. o �-7 3 <br />2e Address of Owner: (No. And Street) (City) (State) (Zip) <br />2 la5 R��+WN t°�VE. W. (ZC7SEvil.l.E, MN 5 St�3 <br />3a Name of Applicant: (First� (Middle) (Last) (Phone) <br />M���Eta ��Nw►�a�E ,A(�ctt�'i'6c'Nl�� <br />p.-r� cJ : Pp,�v L G.. MA`(���A �� � CplZ.2'18•'l'11 "Z- <br />4, Address of Applicant: (No. And Street) (City) (State) (Zip) <br />5. <br />6e <br />70 <br />lZ3 No(2�t 3�-� ST". MiNN�4�o�i�� N►N 5�� � <br />Street Address of Property Involved: <br />2t o5 RaSEt,.AWh' A�rEN'� E� W E5T <br />Complete Legal Description of Property Involved and PID Number (below or attached): <br />[� i '* l-i . 29 , 2 3.1'4' . c o 8 3 <br />-['NE� so�'4-� E}P►t►F o F t..e T ts, o�P� � e S <br />(�P+'I�SE`� Cou(`►� � M�NN6Se_1'� � <br />State exactly what is ii2tended to be done o�z or with the property that requires the conditional <br />use pennit: <br />��t�v ��� E�c�,�,►NS i o iv a F E1c� si� t�c9 t=�.c i l.iT� , TH � <br />_ , <br />c NvR c tt v5 E. �s ,�c c ��' � t� -,A (�� 1� oN E. <br />Page 1 of 2 <br />