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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 />CONDITIONAL USE PERMIT APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $150 <br />-:B' BVSINESSIINDUSTRIAL FEE - $300 <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 />1. <br /> <br />Name of Owner: (First) (Middle) <br /> <br />R c S~.; \ \ ~ 1:... d. u.. ~ f.r \ ~ \j Q. '^ +vJ .(" <br />Address of Owner: (No. And Street) (City) <br /> <br />4Cjo 0 V IlI'O tJ r: ~ I Ed.. ,":.-...... I <br />Name of Applicant: (First) (Middle) <br /> <br />o.J'--R-. - b NlJ"1-tLc,Q <r<"~~ <br />Address of Applican: (No. And Street) (City) <br /> <br />(Last) <br />Ll <br />(State) <br /> <br />(phone) <br /> <br />2. <br /> <br />(Zip) <br /> <br />3. <br /> <br />M 10 5' S'~ ~ S- <br />(Last) (phone) <br /> <br />4. <br /> <br /> <br />A~: ~,,~"' <br />(Zip) <br /> <br />~""" <br /> <br />.s. <br /> <br />SCl..~ <br />5. Street Address of Property Involved: <br /> <br />Lb5b- Ibbl ,TR.ffc..c.J<. 1)r\~ I Ko~~ <br />6. Complete Legal Description of Property Involved & PID No. (below or attached): <br /> <br />~ A+~,-4.J ~~~, r:p~~ <br /> <br />7. State exactly what is intended to be done on or with the property that requires the conditional <br />use p,ermit: ..... <br />~\-'S s~,,~ ~ (LA t' d v-O... ~ l6 st OV'FJ <br />~ ~~~J ~~ fa.r ~f (c.~o..h~ . <br /> <br />Page 1 of2 <br />