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■ <br />�_' <br />j�� <br />� <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 - $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 />additional sheets, keying information to the proper item numbers: <br />1. Name of Owner: (First) (Middle) <br />�.«� � , ��1�- <br />(Last) (Phone) <br />al- !� �5���` �� <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br />�z� �-� � � �� � �-ir..�- r� �� � � i � M � � � < <� <br />3. Name ofApplicant: (First) (Middle) (Last) (Phone) <br />�� �� t <br />:5,��� t c.�� <br />-� ��,ti-��.�-�-��-�.- �-��ti.�.��- ������� ����_y���-��r� <br />4. Address of Applicant: (No. And Street) (Ciry) (State) (Zip) <br />5. <br />6. <br />7. <br />.�� 3� � i c_�_ 5�"r.Je�� �o�e �r i��e J�.�I�I 5�J 1� <br />Street Address of Property Involved: <br />�� 5 �1 �'► <--� ���2:�' �D�.-V � ��� �.( hI �� I 1� <br />Complete Legal Description of Property Involved arrd PID Number (below or attached): <br />—IZ 1 w0 —b2 <br />� O L � 1 rc�.� <br />1 � � Jd�(1 � 1 t-...t� �S 1 � �Z_. Z � • � �r /T • �0 � ( <br />State xactly what is intended �to be done on or with the property that requires the conditional <br />use permit: <br />Page 1 of 2 <br />