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<br />[/ (d' '-1.( l, <br /> <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 />,0 <br />''''0 <br />\[J <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $150 <br />BUSINESS/INDUSTRIAL FEE - $300 <br />,,- <br />CITY PROVIDED PROPERTY O\VNERS LIST/LABELS FEE - $45 <br />d' <br />(All fees payable upon submittal of completed application) <br /> <br />Applicants arc 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 />(First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2. <br /> <br />A (\ LCrJ t:. <br />Address of Owner: <br /> <br />(), <br />..(j (\J l~ f+ l). <br />(No, And Street) <br /> <br />, (Ci(,/) <br /> <br />3. <br /> <br />"} /).. '-" ", ,r 'Ii' /) <br />j ",~ ;"" () 0\.1 C.j <.) "( C) lilli'. \ '::) l. <br />Name of Applicant: (First) (Middle) <br /> <br />f5L-U D <br /> <br />G~) j -./-+HH -7237 <br />(State) (Zip) <br /> <br /><)," '1.'\/) 'J-) r i Jt" C"-:- ~'u ")"?):" '" 2~ [0 <br />- ~ \f....--,t _____ \.. ,~, <br /> <br />(Last) (Phone) <br /> <br />4. <br /> <br />'-D ~ J" 0. 1\ ,'" I " ~) -" I (" ,', r 0 <br />, J-'\\) It.:> ld..LLI,,-1 LL,} LL,S (jAr\ <br />Address of Applicant: (No. And Street) <br /> <br /> <br />/~:>' Pi -;; 7./.\L <br />(City) (State) <br /> <br />I ..' / t::"" J (;J)~) <br />(::_<) I ,- ~'J:5- (Q C\::) ) <br />(Zip) <br /> <br />5. <br /> <br />("'7~' "" T/-i e -'-~"I,,'<'''' \ / ", ,'-' ".,:_-- " '._'-I-~ 'c, <br />~L ,J......:.1Lk:~_~J!iLc.,J__1.V..U.-'.i.J.J.1;~!::Ll!.,J/J I ,~/,. <br />Street Address o./Property involved: <br /> <br />/), /1 tJ <br />/ ;'i/J <br /> <br />,',^ " C) ") <br />:) /) 00 ? <br /> <br />6. <br /> <br />i I! '\ c, ' \ ~ - ,..}') ". / ,,' . \. I c' ,,[-p II ' , ! 1\ I;J /:/. ' (' I :7 <br />...L.'... (j \AJ 1:::'-)' ( . '\ C)~.t. L=Li.l:~,::,'.!.'~:'..~_-,L__L;'\ L/\ ,-, ; v ' f,_-L,=LJ_-=c~__ <br />Complete Legal Description o/Property involved (\- PID No. (below or attached): <br /> <br />....;.... <br /> <br />7. State exactly what is intended to he done 011 or ,vilh the property that requires the conditional <br />use permit: " , <br />, I,) \.-\::,--~__~_..1{_c:: r=___ ro,_ A__Tr6S:~ H iV' 0\JT,:/\' \ ,_"____~_ <br /> <br />!\~-SO /\TT!\ ('/'\ C I) I j ;\ LEiTe ("Z_Eii.4/v\ <br />-~ ._-~-~-------,-----_.,'~~-~--~ <br /> <br />-'en t:: <br /> <br />,- ,"';> "j ," -- ..'-' \ I <br />1)/\cLL!'Z! i <br /> <br />() \ '/" <br />'1/0N~ f-, <br />P fZ I;) P (:;' rz:r'1' <br /> <br />S\Af-" iDcJl(.T(/\j <br /> <br />7{ff S /\ jl PL- \ C j:::l Y') D <br /> <br />, ".7." /' ,~, I~ /11'> it <br />,...c\J /-\<" H !1il.t::N i ,) <br /> <br />P L A IIJ c A Tf/\C' J+ jV\.i;';' J\..J T' "C" ( <br />Page 1 of2 <br />