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<br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />CONDITIONAL USE PERMIT APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />S' RESIDENTIAL PROPERTY OWNER FEE - $150 <br />o BUSINESS/INDUSTRIAL FEE - $300 <br />~ CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees payable upon submittal of completed application) <br /> <br />Applicants are responsible for placing a City provided "NOTICE OF LAND USE ACTION" sign on the subject <br />property at least 10 days prior to the scheduled hearing before the Planning Commission or City Council. <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying infonnation to the proper item numbers: <br /> <br />1. <br /> <br />Name of Owner: <br /> <br />2. <br /> <br />(First) (Middle) D (Last) (Phone) <br />rre..d .:sase ?" ~ '-\. C. ~ e.. r <br />Lou rOle A-f\-" %0 ~<_:~"' er ~\)U,27-q741o <br />Address of Owner: (No. And Street) . (City) (State) , (Zip) <br /> <br />1 J blo W. LQ.Uf\e. f?d. tbse\J'\ \le. (Y\N <br />Name of Applicant: (First) (Middle) (Last) <br />Fre d. :::J05e p~ ~~c~Q." <br />LQ~~\~ ?t~", ~,-^c.."'er <br />Address of Applicant: (No. And Street) (City) (State) <br /> <br />Ilbb W. ~\.H'\ ~ ~ ~e\5\\\-e. \'r\N <br />Street Address of Property Involved: <br /> <br />55 )/3 <br />(Phone) <br />~))Y8'l-q7Y 10 <br />(Zip) <br /> <br />3. <br /> <br />4. <br /> <br />65)13 <br /> <br />5. <br /> <br />6. <br /> <br />_I \\ol(:> \kJ. Lo...,..H-\ €. ~ <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br /> <br />7. <br /> <br />L-o-t <1 t)\k ~ &o\~e~ Oo..\<:S <br /> <br />-#= IOd.9 d.~YY0050 <br />State exactly what is intended to be done on or with the property that requires the conditional <br />use permit: <br />\0 ~e.-e.V D\j.,,\ \) -e"'-\ c\-e~\ ~('c:...:~ \~:c" \ ~,s,c..~ \\ Q'C\ e At ) S <br /> <br />\..) c-...~ ~ ~ I.. ') '\ D(n ~'" -\ I a..~ ~ ~""c:~\"S 0.\\ '\ ~ c ~~ \0 0\ \ ~ , 'r\~ <br />, l) '\ ~ <br />01.. ~~cu+ ~~ """~'€...~ ~o[' '-1.f\. ~~~,\.\(",V'\~ \ & \-..e ~ . <br /> <br />Pagelof2 <br />