Laserfiche WebLink
05/11/2007 16:24 651433�2 BEITLER .--. PAGE 03/13 <br />a5fi11r'LtlF77 12:87 6517Y. '8 RC15E1/L CUIpE1 PAff B3 <br />�suu D <br />�� r MAY : i ;'�G, <br />COMMU�iITX DTYELOPMENT DEPAR�ME�N gy �- <br />2660 CIVIC CE�R DI:1VE <br />RpSEVxI,LE. IVIpvNESOTA 55113 <br />pgONE: (6g1) a4a�279 FA7C: (6s1) 490-2931 <br />(Ciyy Code is availabk qn thc Intmnet: www.ci.rusevitte.ron.us), <br />5E1'BACK PERMTT APPLICATION <br />�crrv cons s$crtox �e�aos� <br />O x�smErrr�ax, rr�or�z�rY owrrEZt �$ - s�s <br />�An qr gry�we apoe srn.,aaa oroompNtea mplrc,noo) <br />Pfease complcte the epplication by typing ar printing !n ink. If the spaccs provided ue insuffic9eut, use <br />additional ahoats, keying infoTmstion tn the Proper ite'n numbars: <br />1. Nmne ofOw►Kr: (First) (Mfddlei i�tl (phO�) <br />C�zr L f-��"b�anrls�, ���-do�-�OO� <br />2. AddrevspfOwrar: (No.AndStreetl {Ciry) fst�J (ZtPl <br />3. NameQ <br />�� <br />A. Addtex+ <br />� <br />3. StreetA <br />� <br />6. Suue ee <br />�rmu: <br />fF�l <br />�.f�PPlicmat: (No..A►ul.ibeet) <br />W <br />/ <br />Y • C/c.(a,� �vKSc <br />(C�tY) ad <br />�tUE' W . <br />on wirh rhe property <br />�� <br />/. i �/ <br />S/- y33 -S8D 2 <br />m�� <br />�11. 55c57 3 <br />th� neqai�s,s <br />� <br />, i <br />.on . .� <br />D � <br />f /�� <br />7, Explain alte»IprNea thar have been examtrred whicb would errabls ymr to meet ¢xisttrsg Code <br />rem«i�s+�enta: , . 1 .,�_ ..� � .0 :...,' <br />[�agc � oP3 <br />