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1�1 . - <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 />, n. � �;� �,,��— : _ <br />,.�1 RESIDENTIAL PROPERTY OWNER FEE -�5- �. s �, <br />' (All fees payable upon submittal of completed application) ���`" '''� �'� `'' �"i <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying informatiora to the proper item numbers: <br />1. <br />2. <br />Nanze of Oivne�� <br />Address of Or��ne�� <br />(First) (Middle) <br />��'O� � <br />(No. And Street) (City) <br />(Last) (Phone) <br />� <br />(State) (Zip) <br />3� � S�o�,�-i, �1u+�1 <br />3. Na»ze of Applicant: (First) (Middle) (Last) (Phone) <br />��r.��2- QJ..� <br />4. Add�•ess ofApplicant: (No. And Street) (City) <br />� <br />6. <br />i � � • <br />r <br />St��eet Address of Piroperty Involved: <br />(State) (Zip) <br />State exactly what is intended to be done on or with the prope��ty that requires the setback <br />pei�mit: <br />`�n'T�-i' �w f� 5 5�'� � �.ti � 1 S �'�� +n a i� _ c�.'� ��'1Zt.r r,�-�r�, �1-� .� i v1,Q � 1 7?. <br />i r`� fJ i�[:� G+C �t� j�(�flYLl�'S�'.�(b.C�` � 7L�. a C(' t�' l�iJ�L(.� t��� �,� sV=�.J,,.t�� �"�` "� y"j°- i�� ���°i� , <br />. i� 1. C�� r, a. • <br />7. Explain alter�atives that have been examined which would enable you to meet existing Code <br />requirements: <br />Page 1 of 3 <br />