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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!1}s). <br /> <br /> <br />CONDITIONAL USE PERMIT APPLICATION <br />(CITY CODE SECTION 1013) <br /> <br />D RESIDENTIAL PROPERTY OWNER FEE - $150 <br />ill BUSINESSIINDUSTRIAL FEE - $300 <br />rs CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees payable upon submittal of completed application) <br /> <br />Applicants are responsible for placing a City provided "NOTICE OF LAND USE ACTION" sign on the subject <br />property at least 10 days prior to the scheduled hearing before the Planning Commission or City Council. <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />1. Name of Owner: (First) . (Middle) (Last) (Phone) <br /> <br />V\.r .ser- & CrQ l Y\C-. <br />2. (No. And reet) (City) (State) (Zip) <br />580 f<'I.T$ElvP{. Ste.3c>o Tr~ MI L1B6Si <br />3. Name of Applicant: (First) iddle) (Last) (Phone) <br />~ LL.C- tMtf\; ~,r~ Ckl'\4b\ (lD(~ 272-Dtf/7 <br />4. Address of Applicant: (No. And Street) (City) (State (Zip) <br />42(P N. F'i~,v'lew t4-1J-e"K~. (61, .st.M\A...l. JM.rV 5510~ <br />5. Street Address of Property Involved: I / I <br />I 8 OD LA). t+w . 3 to <br />6. Complete Legal DescriA ion of Property Involved & PID No. (below or attached): <br />L t>-r I t 1$ 1 0 c1. l I L t\. P eU e I ~ <5 ~ b J ~ \J; S i tJ v'\ . <br /> <br />, I <br /> <br />::P 1 \) ; 0 ~ 2 9 'L 3 '13 aoo Lf <br />7. State exactly what is intended to be done on or with the property that requires the conditional <br />use permit: (i"t., I I <br />\..1(1.0.\ e g;t i" + e "gl S +--'" r of' p I "- c: e 0. II eX "IS '1-1 ~:;-;- <br />:rf< ,... k ~ I" r ['<3 i -t w i + \.., Q 1\ f' -+-Ac.. t- w; 11 t>. C-CJ) M/V\o'iJ4..fe <br />CL -PC a../\ ~ 1\!\/1 ev-.J a'-L." IV'F ~ 7 i d ~ T6 ,,~ e'fj,! f1Jt'~i: <br />Pagelof2 <br /> <br />