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<br /> <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 />~ <br />o <br />~ <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $150 <br />BUSINESS/INDUSTRIAL FEE - $300 <br />CITY PROVIDED PROPERTY O\VNERS 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 />~ <br /> <br />1. <br /> <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />{)<;C/}/~ A- K'UvdJd/v 6s,c7-L/?/-9/IL <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />2- 7 '19 L~~:;(:j /J '/'(- J \ e ~1'~' ;:(1) e V ~((C? j1/J/tJ' ~!;71 ? <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br /> <br />D S C/4P__ H /<.-v .vcfJs OAJ 6S7 ~{-y 1-9/ (2- <br />Address of Applicant: (No. And Street) (City) (State) (Zip) <br /> <br />2- ) C.(9 [~ t.') <'5 Df I:> r' :tje (! s: F- <br />Street Address of Property Involved: u ' <br /> <br />2 ? e(9 (/~~ ('0; (J b /' ( ~05 e ~~f- <br />Complete Legal Description of Property Involved & PID No. (below or attached): <br />0/2 92..7 '7LiG~ccr <br />(' .,.!i- 'J 0 0 '7 )' -' ! f. I r-- (\ o~ Y' . (-) <br />..)<:::-C L I I CL-.J.-....J C t ;)A-/\.1C' 0 L.. C-, 12.. D, /". 1207+ c.\I- e ), cJ-- <br />, ~ <br /> <br />L...J VL o~. Sc YC; (')~ Sc V q ~ub} j"'~c-S",,-h) n} ,~'ec 1//\) '2 )' ;(,,'\J'2.? <br />State exactly what is intended to be done on o.,Jwith the prop~rty that requires the conditional <br />use permit: (\ , _ () <br />A/loed <?{'r,~fl.~ ZJo sf:- sh.'2cO f-o /,,?jI1J.::w~'J 4--~G(?cjJ <br /> <br />~ q i4-Y".r\-( t'f HI +f-- G ),4-:) P i</,J/1o-vVcOr;:.j) /-e;, c?6' c(s;,l:~ <br />v J , <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />Page 1 of2 <br />