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���� �i�, <br />,,�r•rrl`iJi•%���LJ1.�� <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 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 />� <br />G�c,�i,�t I,-��-� ���;��� ��� � iZ`j `�i 4z� <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br />3. <br />4. <br />5. <br />;� <br />` � 7 �= �.� �i.�-� � \ ��C. � ��o.Sr � � 11z 1� 11 � ` ) `� 1 �� <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />�G..C� � � �-'c'��- <br />Address of Applicant: (No. And Street) (City) <br />; C-�1,v�. C`� C,�uc <� �,, . <br />Street Address of Properry Involved: <br />������ 1��.�1 yz�� ��y21 <br />(State) (Zip) <br />4�� J,.��,:.k� ,��� �,�se�-� i►�. <br />State exactly what is intended to be done on or with the <br />permit: � � �ri' x 3�` <br />rl� � � I �-�'� <br />that requires the setback <br />� i � � r�,.: �v�n�k; �4 � �.� � � z�.�, c..v� �L �r�� ..� :� �vY r • s 1� <br />(' � <br />� `�x �fG,IV +Z � i-Z �lC�(.�1�.:v \ 1a%\�� i 01\1� j�i �nx'�r;,l �r ��':�, i l `�lL•r �'X�S�I1:.�'+1�j <br />'t.L �:'�c:.C2 _ �l,�.c �C..�t�,zr �rvK��.x,.7. li� <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />ev�t�� Z c;,�'��,� �;11c;� I� �{ ����c.F Ci£l� �n .�v�.rLu-� <br />� <br />Page 1 of 3 <br />�, <br />�:. <br />� <br />