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-. ... <br />��� � <br />� <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br />❑ RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br />Please complete the application by typing or printing in ink. If the spaces provided aze insufficient, use <br />additional sheets, keying inFormation to the proper item numbers: <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />/�I�c� Chr�si�j�1�¢,,-- '✓,��.kers �ri Y8�-�86F' <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br />S'6 � J �..d � �bi� ,A.� ,�.� �, '(1 e d� �✓ <br />3. Name ofApplicant: (First) (Mdddle) (Last) <br />ii <br />4. <br />5. <br />6. <br />Address ofApplicant: (No. And Street) <br />i <br />Street Address of Property lnvolved: <br />(City) (State) <br />5`il3 <br />(Phone) <br />�� <br />(Z�P) <br />\\ <br />y� � J��,� ��. Ro��, ll�� � �ti ss��3 <br />State exactly what is intended to be done on or with the property that requires the setback <br />permi[: <br />CLLCC ✓L � p i/�-�= CA.r- •,'7 cr, ra� � c� -I'w o r'..r ,i- <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: ��5,� f��`' �,, �� w d,�� �nt� �G� �v✓"n Cs� � <br />� rC� <br />Page 1 of 3 <br />