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' <br />Apr 19 06 08:40a <br />T:--�.. �� <br />� <br />patrick sweeney <br />651-493-8400 p.l <br />�� 1 l . . 1 _.,.. . .. .., ....- � <br />C / <br />. �:! <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />�� �� <br />� � /�,,rft 2660 CIVIC CENTER DRIVE <br />�'r� ROSEVILLE, NIINNESOTA 55113 <br />�� PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />� • `C {City Code is available on the I�lternet: www,ci.roseville <br />. �j `? . mn.us). <br />�' �'�� SETSACK PERMIT APPLICATION <br />� <br />(CITY CODE SECTION 1013.05) <br />,C�., RESIDENTIAL PROPERTY OWNER FEE -�-'�5-- �f ' '4: W���'.�� J T.J <br />� (All fees payable upon submittal of completed application} ��-� •�°�`-'' `?�'�� <br />Please comp]ete the application by typing or printing in ink. If tlle spaces provided are insufficient, use <br />additional sheets, keying infornlatioi� to the proper item nun�bers: <br />1. :�'a»ze of O���r�er <br />Z. <br />3. <br />4. <br />.-�ddress of Oti�•l�ea• <br />(Fir•st) (llliddle) <br />�`"� �✓(il�'tc-� <br />(Last) <br />(11%0. dnd Street) (City) (State) <br />� ����� <br />:1ra»ie of�lp�l.icarat: (First) (Middlej <br />C�b%�3��-(� � <br />.�ddi•ess of.-�pplicaral: (.�o. And Sb•eet) <br />�`�� � . <br />(Last) <br />(LitY) <br />�'�.� <br />�. Str•eet Addi�ess of Proper°ty Involved: <br />.�'� c�� c�9s� <br />(Phone) <br />�S � '775=�;%� <br />(Ztp� <br />;7`� <br />{Phone) <br />(State) � (Zip) <br />� � � <br />�D ---� <br />��� <br />b57�7�.� -��I <br />��Z% /.�/� <br />�� <br />6. Srate exaclly ���I�at is intended to be done on or �with the�roperty that 1•equir�es tl�e setback <br />perrnit: <br />� ,';'� � f.`' '�t ��� �^ i- ' <br />VT" <br />{�1�� JI V=��1.� '/J !/ ��(P� /�` �/ r �!� ~l l� 1`% f,'/L�ft 1 ff 1 E 1 !" i .�`i� �. . r/` <br />i� ;", . <br />vl � <br />, � � < <n f , a f � < ! � ?,, <br />o li �' � i :� lJ.�=*?�`;.�i..� � °" � t'i zi � �� � �.-� `�; -'"�61 �' �� � ��✓c 'l•F' i + <br />(I � <br />v i <br />7. E.xplai�� alte��ncrtires that have beers examined ��hiclz inould enable you to nzeet existing Code <br />requirements: <br />Page 1 of 3 <br />