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� <br />I :' <br />l�'�, <br />`/� <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 />(C1TY CODE SECTION 1013.0� <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 />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />� , <br />�-��,1 ���f � 1�.� �v�l is . 5� � ��z �-� y�/�- ��o s� <br />(No. And Street) (C' ) (State) (Zip) <br />� t� �, ss-o /�� S�� /�.� <br />2. Add sser of Owner: <br />-� <br />3. Name ofApplicant: <br />4. <br />Ily <br />(G � �PC�/ llX <br />� <br />(First) (Middle) <br />� C� l � <br />� ��� � a �-�� � � Q � <br />Address ofApplicant: (No. And Street) (C <br />. , <br />h') <br />� <br />(Last) <br />;-. <br />(Phone) <br />S � �_ <br />(State) (Zip) <br />� , � <br />5. Street Address of Properry Involved: <br />� s� a �� � .S-n �� ��� _ <br />� S <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: , <br />- � bv i 1 � a' l�c.� w � � �e i �•-�' .-� -f �'� � CJx � s � <br />t-., � v1 N <br />�a��� ��, <br />7. Explain alternatives t at <br />requirements: � <br />1 tt C �� /i( �t <br />� !�^ , (�' <br />'�'��� <br />� <br />����� <br />I <br />. � � <br />� <br />r/ <br />�a,�� <� <br />G)''�`�� � ���-o� v�/� � G� .� . <br />haG� been e.�'amined which would ena�e yo� to meet existing Code <br />t s G� L.1 G � � � ,� ,� n ��� � � �� <br />n � <br />Gi �y o � G�1� /' C� L � .� �, , � �- � /%J �=-�iDR � � li <br />/l � % " <br />G�cl� �� �o�� /� !��-�c�> <br />Pagc l oE 3 <br />