Laserfiche WebLink
� <br />r . . . :_v�i; <br />�' _ <br />'��� F� <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 />(CITY CODE SECTION 1013.05) <br />� : � , P,��;�-- �. <br />Cl RESIDENTIAL PROPERTY OWNER FEE -$-'�- _� <br />.. � .tf . ' ` �'i...t �:�1i'1�-� <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 />'c�c1� ' �-���<� l.'lC�1���1� �' � � y<�'� Lf���Z— <br />2. Address of O�v»e��: (No. And Street) (City) (State) (Zip) � <br />�� � � �is�;.���� �1vc� ��v�r�t l�', /Yl���' ���' � 7 <br />3. Name ofApplicant: (First) (Middle) (Last) (Phone) <br />4. <br />5. <br />JAa <br />Address ofApplica»t: (No. And Street) <br />St�•eet Add�•ess of Prope��ry Involved: <br />(City) (State) (Zip) <br />�� � S. ow�;���- ���� � i�U���� ,����� � S-� � 3 <br />6. State exactly what is intended to be done on or with the prope�^ty that ��equi�^es the setback <br />permit: <br />�- �-r;,. %� i � �,, c � _ 7 � ;- � _ _l + ,=� .� „ <br />�� 1� � - 1 V <br />i i�� fi i-� i� �() C1Yl � � I <br />' j� ( .<{,�.C�il t vC t2JLL.c_,��► ►`� `;;� �� �.! �l �� ` r.-. ., � r 9i: _,r ... <br />1 <br />� Q � <br />� ✓ � i .�✓�'�f,L4/i.� � i� �� 1�� �.i. �'� t �.' / � [ - A � r _ . <br />_ <br />7. Explui�� alteri�ati>>es that have been examined which would enable you to meet existing Code <br />requirements: <br />Page 1 of 3 <br />