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i �..� �. <br />�' <br />■ <br />■ <br />1��,� <br />��- <br />COMMUNITY DEVELOPMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 ❖ Fax: (651) 792-7070 <br />CONDITIONAL USE APPLICATION <br />CITY CODE SECTION 1014.01 <br />www. ci. rosevi lle.mn.us <br />RESIDENTIAL APPLICATION FEE: $300 <br />COMMERCIAL APPLICATION FEE: $600 <br />p C�C�C�OdC� <br />� MAY � I 2010 <br />COMMERCIAL APPLICATION ESCROW DEPOSIT: $1,000 <br />Application fee (and escrow deposit) should be made payable to City of Roseville upon submittal of completed application. <br />Escrow funds will be drawn to cover project-related costs. Additional funds may he required; su�plus funds will be returned. <br />Please complete the application by typing or printing in ink. Use additional paper if necessary. <br />1. Property Owner Information: <br />Company nume: <br />Last name: j%�c�. �U f5 First name: l�� G%��m <br />Address: � S 6� ��,�WOf� St � Ciry/State/Zip: �dSGU: ��L ,/�'( N SS l!3 <br />Phone number: Email address: q�y,Z @ R oc�irt�u �. c.e,�r- <br />2. Applicant Information: (if different from above) <br />Company name: <br />Last name: <br />Address: <br />Phone number: <br />First name: <br />City/State/Zip: <br />Email address: <br />3. Address(es) of Property lnvolved: (if diff'erent from above) <br />l�63 Ll�rs�.-�rt4�- S-tltl <br />4. Zoning Designation: � � <br />5. Comprehensive Plan Designation: � � <br />6. Statement of Intent: Briefly describe what will be done on or with the property requiring the <br />Conditional Use approval. <br />I pla.n f-� ipu,r u� a, �.�/ �)C Ll2 ��c.�.�c�.q� �o� �cS1c��c�t1t� <br />e Dn � <br />Conditional Use Application Page 1 of 2 <br />