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--� <br />L��� <br />J�- <br />COMMUNITY DEVELOPMENT DEPARTM <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 <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br />������� <br />APR 0 6 2007 <br />2 <br />� f `_'°�,�; <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. Ifthe spaces provided are insuffcient, use <br />additional sheets, keying information to the proper item numbers: <br />1. Name of O���ner.• (First) (Middle) <br />':� ` 1 � �* �-7 L--- � �� <br />2. Address of O�vner: (No. And Street) (Ciry) <br />, <br />� � � � ti .:_ ✓�,� � � —� c- � � .i . <br />3. Name ofApplicant: (First) (Middle) <br />j �_� � i� E�< < ��� ,�� �> �- s, t,,�� l. <br />4. Address ofApplicartt: (No. And Street) (Ciry) <br />'� GJ �U Y� L < 'J V � � r/ J'�, % ��( � � : I ` •i <br />5. Street Address of Property Involved: <br />(Last) (Phorre) <br />-,�, d�� � � `�7� - -��`/�?% <br />(State) (Zip) <br />� C/ ) � 0 � � .>'�I7 <br />(Last� (Phone) <br />lE�� � ��`� �� � <br />i � � <br />(State) (Zip) <br />d�ll, < < % � <br />J J ! � J <br />6. State exactly ivhat is interrded to be done on or with the properry that requires the setback <br />permit: � � <br />� �; �; �;�� � � L '� V r ��,i %- �r a "l ;.0 L � �-V � <br />H <br />�'� '� �I'� � / ,� � � t7 ,�� 1' � _ � � /I :.�-'� C� � l� -t ` �� � ✓ L � � <br />!- T 'h I_, <br />�� � �. <br />� � �i <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />�: <br />I'agc 1 of 3 <br />