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<br />rF&113 <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 />~ RESIDENTIAL PROPERTY OWNER FEE - $150 <br />D BUSINESS/INDUSTRIAL FEE - $300 <br />D CITY PROVIDED PROPERTY OWNERS LIST/LABELS FEE - $45 <br />(All fees payable upon submittal of completed application) <br /> <br />Applicants ate 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, lCe-yinginfoFmatiQn to the proper item numbers: <br /> <br />1. <br /> <br />Name of Owner: <br />M Afl..y <br /> <br />(First) <br />LYNN <br /> <br />(Middle) <br />B f<.oW,J <br /> <br />(Last) <br /> <br />(Phone) <br />~&5( b33-/9'5f <br /> <br />(Zip) <br />St3113 <br /> <br />2. <br /> <br />Address of Owner: (No. And Street) <br />2 t <8 '5 5-r. C <<"0 t)C St. <br /> <br />(City) (State) <br />Ro"SE:v ILLE MrJ <br />I <br />Name of Applicant: (First) (Middle) (Last) <br />'S TEPHc0 'R. BE,J /\JC:-rT <br /> <br />Address of Applicant: (No. And Street) (City) (State) <br />2 t €5 5.(. (2.QO t)( ST'. Ro s€'v ILLE MtJ <br />I <br /> <br />(phone) <br />CoIS I ~ -3;;3 - 7'1'5 f <br /> <br />3. <br /> <br />4. <br /> <br />(Zip) <br />St;l (3 <br /> <br />5. <br /> <br />Street Address of Property Involved: <br />Ll '8S ~T. C,QO IX: ST. <br /> <br />Ro ~ (LLC I M fJ ~ S II 3 <br /> <br />6. Complete Legal Description of Property Involved & PID No. (below or attached): <br />P ( D it R 0<6. '2 q . 2 ~ . '34. ooS~ <br /> <br />LEGA-L - 'SEe:; A-rrACHcO CE(2.-r (F tCA-CiC oF" 'SVRUcL.( <br /> <br />7. State exactly what is intended to be done on or with the property that requires the conditional <br />use permit: <br />I\) € <..J GA f2..AG E Co to '5 -r 12..u. C T \ 0 1'....1 <br /> <br />Page 10f2 <br />