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,-�. <br />.� <br />��% iii , i� <br />�/� `��������������� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 Civic Center Drive ❖ Roseville, MN 55113 <br />Phone: (651) 792-7005 s• Fax: (651) 792-7070 <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br />City Code is available on the Internet at: <br />� www.ci.roseville.mn.us/council/city_code.htm <br />❑ RE5IDENTIAL PROPERTY OWNER FEE: $75 <br />(Fee payable to City of Roseville upon 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 />1. Name of Property Owner: (First) (Middle) (Last) (Phone) <br />�!��i l CH tA � t� � J�� �!A �2120 r�l �. (,�' j i �-{ g l-'l l�1 <br />2. Address of Property Owner: (No. and Street) (City) (State) (Zip) <br />'��` �M+°,I��.c L4a�►t i...�,�� I�ui�l�LC.� (1ti.`� `�51►'J <br />3. Name ofApplicant: (First) (Middle) (Last) (Phone) <br />i'1�l ► C�N W�t_ ��1 � t2.l2ou'€ lo� � - �-�' �� - `I ( <br />4 <br />E <br />� <br />7. <br />Address ofApplicant: (No. and Street) <br />3(�L l�'lite-�P�E LHrv� �G��2'� <br />Street Address of Property Involved: <br />�'Sto2 iMr�PL� !L��,,c C.vU�T <br />(City) (State) (Zip) <br />��: ��t ! c.-c-� t,� �! � S 1 t 3 <br />State exactly what is intended to be done on or with the properry that requires the setback <br />permit: <br />7� l�Z'r.�-��14u��i <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />��.� l� i �AC�KIM�r�C <br />Setback Permit Applicauon Page 1 of 3 <br />