Laserfiche WebLink
i ' . <br />•% ! <br />J� � <br />� � <br />� � COMMUNITY DEVELOPMENT DEPARTMENT �j �C C�!� <br />�� � <br />( ��{,��,� 2660 CIVIC CENTER DRIVE '-'j � <br />� ROSEVILLE, MINNESOTA 55113 P� 3/ � <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 SECTION 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 />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />��1��2a,��%�����- ��-��1��� ���,����--tiz�� �s�- y��-�3�� <br />2. Address of Owner. (No� And Street) (Ciry) (State) (Zip) <br />�/ 3 � /�Y� �� .� ��= ���s� �� ��� ii�� s�,s `� � <br />3. Name ofApplicant: (First) (Middle) (Last) (Phone) <br />�:�,�� <br />4. Address of Applicant: (No. And Street) (City) (State) (Zip) <br />� ,� /n c <br />5. Street Address of Properry Involved.• <br />l/ ? 7 /�Y�ti ��-� �'��s� �� //� ����. �.s��3 <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br />�;�C��C�. ,��cG�2� G��G`% .�i7�ica��c.C� G-t��l �iG��*—� <br />' .��u�v Cr�2� <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: , � , <br />� �� �li' /1�����L U ' 1 }'LL`�t� +c—t-C ��?� % L j � �'�f �b�2G—� <br />� . <br />l,G%�-C''-� d`z�� L�/L�' ��z� ���" ��- L���, ��*� l.S I` - j��i`z° � t� r l` � <br />, , , <br />:�' � C/ (� � <br />Page 1 of 3 <br />