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--� <br />B�� ��o�� <br />� <br />�si-•^'- 7073 J�X� <br />1!°�� <br />r/�.. ..1 <br />COMMUNITY DEVELOPMENT DEPART <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. <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br />EIVE <br />APR 10 2008 <br />�C7 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 />1. <br />F� <br />3. <br />Name of Owner <br />����� a-tn�h <br />Address of Olvner <br />(First) (Middle) <br />;�. �.' !�}a� <br />(No. And Street) <br />,.�' <br />(Last) (Phone) <br />�S/� �f�7���% <br />(Ciry) (State) (Zip) <br />j �ifu'.� <br />Na�ne ofApplicant: (First) (Middle) (Last) (Phone) <br />4. Address ofApplicant: (No. And Street) (City) (State) (Zip) <br />� / �% �UE sl'�`� u/'+ - �,!�- �� <br />5. Street Address of Properry Involved: <br />6. State exactly what is intended to be done on or with the properry that requires the setback <br />permit: � <br />• yYc (��„ C X tS 1't�/� /,�- r`/��(.t � S�`�Gi � �gl'� t._ <br />�� �C�J�C�S �k' l'i� /�'� GCi �('i4° J� � �.� a2 <br />7. Explain alternatives that have been examirred which would enable you to naeet existing Code <br />requirements: <br />. <br />Page 1 of 3 <br />i i� <br />