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<br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 />INTERIM USE PERMIT APPLICATION <br />(CITY CODE SECTION 1012.09) <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $100 <br />o BUSINESS/INDUSTRIAL FEE - $200 <br />o 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 information to the proper item numbers: <br /> <br />3. <br /> <br /> <br />Nf\ne ffOwner: (First) (Middle) . (Last) <br /> <br />\Jot}trrt lit~_{(i(\ CJ'\Llrc/~. <br />Address 0.( Owner: (No. And Street) (City) (State) <br /> <br />Ii CL6.QJ'l\ \._ <br />(Krst) ( 'ddle) <br /> <br />Q '/} ') / <br />Address of Applicant: (No. And Street) (Cit~ <br /><2 )/,,) C\\I~' \x! <br />_) v / /u)-( <br />Street Address of Property Involved: <br /> <br />(Phone) <br /> <br />1. <br /> <br />2. <br /> <br />(Zip) <br /> <br /> <br /> <br />h r:=; i lr-" <br />~J ,'J I ' <br /> <br />4. <br /> <br />55/ { <br /> <br />5. <br /> <br />6. Cornplete Legal Description of Property Involved & PID No. (below or attached): <br /> <br />7. State exactly what is intended to be done on or with the property that requires the interim use <br />pen iLl <br /> <br />