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� <br />.-.� <br />��� <br />� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 : Fax: (651) 792-7070 <br />SETBACK PERMIT APPLICATION <br />(C11'Y CODE SEC"I'ION 1013.05) <br />City Code is available on the Internet at: <br />www.ci.roseville.mn.us/council/city_code.htm <br />❑ RESIDENTIAL PROPERTY OWNER FEE: $75 <br />(Fee payable to City of Roseville upo� submittal of completed application) <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 />2 <br />3 <br />C! <br />� <br />� <br />Name of Properry Owner: (First) (Middle) (Last) (Phone) <br />C�,r�- l� .v� Y�.r1C� �bbcl�ee. t��l. y8y.4p <br />Address of Properry Owner: (No. and Street) (City) (State) (Zip} <br />23"i?a �l ��'�Or� a S�'. �l �.�.� i 11t , m N 55 I 1� <br />Name of Applicant: (First) (Middle) (Last) (Phorr�e) <br />Sd�.�e� as -s� 1 <br />Address of �Applicant: (No. and Street) (Citv) (State) (Zip) <br />So..v�n� as � 2 <br />Street Addr�ess of Proper-ty Involved: <br />SarnQ o�,S � 2 <br />State exactiv what is intefided to be done on or with the propertv that requires tl�.e setback <br />permit: <br />. . • �. _,�� 1 . h , .� � V •" _. � �' <br />0 <br />7. Explain alte�atives that have been exarnined which would enable you to meet existing Code <br />requiremerrts: <br />w1n:Ck� �- �^�°Qt' �'° ct^�bi <br />5etbacl� Pexmie Aj�pLication Page 1 of 3 <br />i� <br />