Laserfiche WebLink
;.�ti� � 1° _ '� r <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 1013.0� <br />� RESIDENTIAL PROPERTY OWNER FEE - �-75- x � Jv � '�� ��� � <br />(All fees payable upon submittal of completed application) `�'" �'y `� `,`� �' <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. .Vu»�e of O�rnc�r: (Fi��st) (Middle) (Last) (Phone) <br />� 2. <br />� 3. <br />%. <br />� 4. <br />r�' S. <br />.� r �'ETT� /�. ���=�'�i����`% � �/" y�y"��� � <br />.-1 dclress of O�r��er: (No. And St��eet) (Ciry) (State) (Zip) <br />.\'a»>e of�lpplicant: (First) (Middle) <br />.�J�" �.S ; D�✓/� S o" C L, �''D /F <br />.-�ddress of.-1pplicn�7t.• (No. And St��eet) (City) <br />5��� <br />Street �ddress of P��ope�•ty Involved: <br />(Last) (Phone) <br />� ,�L s - <br />(State (Zip) <br />6. State exuctly ivhat is intended to be done on or with the properry that requires the setback <br />pei�mit: <br />, _ , E r;" ! � t�L't �. � C 1� . � _ , )J ;'��. . . "�l-'• 2 ✓'� � s l� .� ( . ., i . � `"`ci � , � �.-�-; i K-.. . � i��..�s . e � � .. <br />� 7. <br />,r� <br />U ° ;, <br />ii',E ul�:.E�� i'' )%�I[�1',�"7��� ��``�'�p ��Il�E2J�..�r f�r� `�,.�°_ � --- � <br />—„�. .-y . <br />l � ! _ � J�✓.� ` � �1-� 1 .4 �/. �� � � ._ ��� �: ;� � M '� 1 � j � <br />� <br />1 <br />Erplai�i nite�•r�atii�es tl�at have been exmnined which would enable you to meet existing Code <br />requi�°eine»ts: , � �, - <br />i , J - �, . —_i <br />Page 1 of 3 <br />'..a%�-� � <br />