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<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
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<br />
<br />RESIDENTIAL PROPERTY OWNER FEE - $150
<br />BUSINESS/INDUSTRIAL FEE - $300
<br />/"
<br />CITY PROVIDED PROPERTY O\VNERS LIST/LABELS FEE - $45
<br />~f'
<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 />(First)
<br />
<br />(Middle)
<br />
<br />(Last)
<br />
<br />(Phone)
<br />
<br />2.
<br />
<br />A KLcN t:-
<br />Address o.lOwner:
<br />
<br />() .~
<br />/ (; (\J i:Z (~Q"
<br />(No. And Street)
<br />
<br />. (City)
<br />
<br />/ J:)' I-'/-+ Q(~ - -7' ) ~ '7
<br />LO_ (/( -' ?-.. J
<br />(State) (Zip)
<br />
<br />3.
<br />
<br />?j'] r. I) -L" C' -(".-' ("f:'L .'. \ 11.:1 C,' c/..)
<br />, ,'J ,~~ '-'.. \...---' Ij'-~ -- ''')' ./ /\j. \ .,J__.. '
<br />Name o.l Applicant: (First) (Middle)
<br />
<br />Tjt.../j D
<br />
<br />HlJREL/1 E 1/0 '5'5' i 2, Co
<br />(Last) (Phone)
<br />
<br />4.
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<br />Address o.l Applicant: (No, And Street) (City) (State)
<br />
<br />, ..' ' .'J / ()) ,:;
<br />(;f) I .- (,,-605- (Q ()::) _)
<br />(Zip)
<br />
<br />5.
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<br />eL"! 21' /')' .... Ti-f (J_1_"'1 '. 1\' "> I' \ -- I /1--', ,-)
<br />---= LL,_~_ Li ) i( LL _____v (~J..:..~ __-d..! I L f - ,,\j J. I d \\.
<br />Street Address o./Property in volved:
<br />
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<br />/ VI lbJ____~)I-) 00 ?-
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<br />..L.'.._~_ 1\.1 ,,~ ., \ \' ') , - --I l.,',j ...J, ' J" I 1/' -.. / v , ) ______
<br />6. COII/plete Legal DescnjJtion olProperty involved & PID No. (below or attached):
<br />
<br />7. State exactl}I,vlzat is intended to be done on or with the property that requires the conditional
<br />use permit: .' ,
<br />____,-.e..\...:~_.S~ .1i,l~~_ TC'__/\ JS(-\ CJj_.lV\ {:::J~-r:~_~~~~___
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<br />PiZo Pf;fZ1'-( PLA/\J' .4TT/\(' J+jV\,&;'J'0 T "c:"
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