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�■ <br />l�� <br />� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER �RIVE <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 />INTERIM USE PERMIT APPLICATION <br />(CITY CODE SECTION 1012.09) <br />RESIDENTIAL PROPERTY OWNER FEE - $150 <br />BUSINESS/INDUSTRIAL FEE - $550 <br />(All fees payable upon submittal of completed application) <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additio sheets keying info ation to the proper item number : -Z �_ y� q-(p78"� <br />��� � �!� 5 .� o u�� �-5 /�� ►�X ���� 1 � S� <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />2. <br />3. <br />4. <br />5. <br />6. <br />9�0 ��� <br />Address o Owner <br />�lz r��� itos��,���� �� � <br />(No. And Street) (Ciry) (State) (Zip) <br />��}- n1 � S P o �. G � A- s �--ti �>c � �U�'�Z � S�� � �f �"9- � ��%� <br />Name ofApplicant: (First) (Middle) (Last) (Phone) <br />�o`� o I� /9- ��-l� � lZ l� (%1� � D S� v r�GG�� /yr �— S��( l 3— <br />Addre ss o Applicant: (No. And Street) (Ciry) (State) (Zip) <br />`��1� l� ��� /� (Z �fU� �Zc�s��/r'GL <br />Street Ad ress of Properry Involved.• <br />S�/ / 3-- <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br />7. State exactly what is intended to be done on or with the property that requires the interim use <br />permit: �. � �-0-- `L�.-a. -e�G;-�---� �A-�.�o_a, o..,,.�L <br />".� �. � . i�.5�. ,�,�„�e��e �--�� �.4-. ��.,L. <br />'g.��' C-°"' <br />Q-1 a. �•..� � <br />3 <br />�o -�-=p � ' �---a�� <br />� � ��-� 301�..�-1=,,�,�.. . <br />. . <br />- � ��i <br />-r�. �....�- `� _ � �.�--,., a �'-°� -'�'_��.� <br />� ' � � ��.� <br />�- �-� � <br />. � ,,..r;� �-�, �- <br />' Page 1 of 2 � �-� <br />1.,-- � �6� s —,^�-�' -�—��� , � �� <br />