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.-. <br />�-�c <br />jJ� <br />,.� J <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 SECTTON 1013.05) <br />❑ RESIDENTIAL PROPERTY OWNER FEE - $75 <br />(All fees payable 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 />L Name of Oivner: (First) (Middle) (Last) (Phone) <br />%/; �� � � � ,� �� � � � <br />2. Address of Owner: (No. And Street) (City) (State) <br />� � �,;�t<<�a�����... �i.,� /4���<' 4 i��� � i�,'l� <br />3. Name ofApplicant.• (First) (Middle) (Last) <br />' ' �7 <br />4. Address ofApplicant: (No. And Street) (Ciry) (State) <br />(Zip) <br />, l � l <br />(Phone) <br />(Zip) <br />/� �., ��4 � � � � . , � ; <br />5. Street Address of Property Involved: <br />%C � / <br />6. State exactly what is irrtended to be done on or with the properry that requires the setback <br />permit: <br />����,7IC1 C�f' L'�G��� c�i Il1lc�'� C�l! ��iZO �� GL� �'�'�L /� f Lv �P(� I%(v � �� <br />l � i <br />"%l' �DtLI� OPQ�i�; Li���i` `tL�f SC��,.i� C'a..Cir-�t , a �) <br />� ! � I <br />� � I y j -�' � � � p �� �.� �—�' : , f��, I � �� c , �� /L'�;� �-t, s , �l ��- <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: ; <br />��`'{!.�_vN ��l,lJ(Z .t !,IL�IL�.rC 5�«�/ �l�t.�ti�C� IS !,� CjVJ�> ('c�.�����FI.. <br />, <br />.��c:� , -,?�clre �� `'L,-r�{,� �� r",«.,,� . _ . . � S14 G �' �c� +-c.�C -�c��vi-t.� . . . <br />�, , . ' i � Z r , ' . <br />.. � :�. �( � 7 .�.. .. <br />Page 1 of 3 <br />/ / <br />�� Y... rn 4,�J' S('' , . . 4� i..�... <br />7 j .� � < <�_� ��:.�:'� L; ' . . � .. , <br />