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� <br />� <br />:� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 Civic Center Drive :• Roseville, MN 55113 <br />P6one: (651) 792-7005 ❖ Fax: (651) 792-7070 n � � � � � � <br />I �� I <br />SETBACK PERMIT APPLICATION <br />(CITX CODE SECTION 1013.05) <br />City Code is available on the Internet at: <br />www.ci.roseville.mn.us/counciUcity_code.htm <br />JUN 2 6 2007 <br />>� <br />❑ RESIDENTIAL PROPERTY OWNER FEE: $75 <br />(Fee payable to City of RoseviUe upon submittal of completed app[ication) <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 />1. <br />3. <br />4 <br />6 <br />� <br />Name of Property Owner: (First) (Middle) (Last) (Phone) <br />�� �- . ✓w��S (Osl. 35?• St o � <br />Address of Properry Owner: (No. and Street) (Ciry) (State) (Zip) <br />°��`� �ww�..�- �r�., ��u-�-� � � �'t l 3 <br />Name ofApplicant: (First) (Middle) (Last) (Phone) <br />S�'lE <br />Address ofApplicant: (No. and Street) (City) <br />s� � <br />Stree! Address af Property Irrvolved.• <br />1 g � ,�,v o.�t�- ( <br />(State) (Zip) <br />State exactly what is intended to be done on or with the property that requires the setback <br />permit.• <br />Afl� J4P�o�u io S� � J� O�t�c�,,�9-�j �� <br />6 ��i►9-�6F �r{.o c ��T �s wt� � ��K- �� <br />6�+'-•�'�F._ .� �, �� �,p �f� �, cF.rKf�l � rt� <br />4 ii 2 ff,�f" ��. r7�, �°,fp/;�r�f C.Zh�� <br />Ezplain alternatives that have been examined which woudd enable you to meet existing Code <br />requirements: <br />Tl� sS �D �L: a� r+�c S�✓� o F �_ <br />�� i /J�U�Jc�l6 Z- ��� rh✓A� ��•Gty� r�. <br />o/t.��'�i c.l.�/i G �.t �f�t �3 f �. �� �n. ,�t/�06 <br />g- cG��r.i . 6 �ti�. ��1 Z��— <br />w o� l,� N,� G� ,r4G1,dW �i�f c�bb H— n.t(a�- �- P� 2�'��/'� <br />Setback Pexxnit Applicadon Page 1 of 3 <br />