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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 />~ 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 information to the proper item numbers: <br /> <br />1. <br /> <br />Name of Owner: <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />(First) <br /> <br />2. <br /> <br />6 ~\Jl \ \e." <br />Address of Owner: <br /> <br /> <br /> <br />-:?e les <br />(No. And Street) <br /> <br />. (City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />3. <br /> <br /> <br />4. <br /> <br />(Phone) <br /> <br />{i) <br />(Zip) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br />1 ~60 (!)c.dcCJ~sL Aye' f(6sc~d I ~ . JV\ tJ 55)/3 <br />) J <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br /> <br />6. <br /> <br />7. <br /> <br />~~ - 23, ;tl ~ 00 II <br /> <br />Lot ~ \ is \0'\\ \ I ~ose dc.(e 1:'(\d\J!>~f'IC\ \ ~C41"\( ~ (o~d AdJl'tlor- <br />State exactly what is intended to be done on or with the property that requires the conditional <br /> <br /> <br />Page 1 of2 <br />