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�� . - .. . _ �.� <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 />r0 RESIDENTIAL PROPERTY OWNER FEE -$�S- � <br />� (All fees payable upon submittal of completed application) <br />�✓��, ;��.•�_� ��,;" �-�� <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 �tem numbers: <br />1. Na»�e of Otivner: (First) <br />� <br />_.�;�sepl� :�. ��►n�{ l�ar <br />2. Address of OK�ne�•: (No. And � <br />� �8S In/� I�c�S���;� � <br />3. Name ofApplicant: (First) <br />(Middle) <br />� �, <br />rreet) (City) <br />.� <br />irz I�t���l�-c <br />(Middle) <br />4. Address ofApplicant: (No. And Street) (City) <br />(Last) <br />Uss <br />(State) <br />M ►�l <br />(Last) <br />(State) <br />(Phone) <br />�,Si-i���3-17c��j <br />(Zip) <br />�SII 3 <br />(Phone) <br />(Zip) <br />5. St��eet Address of Property Involved: <br />�.3�3 V�%� ��iE'��,'u%ti� �Vt'�1��� <br />6. State exactly what is intended to be done on or with the property that requi�°es the setback <br />pei�mit: <br />��-a.���t��1 �.� ,���� t S �.+ r� � f�.Q. c.urW i�u �� � '1"1�F �� �`r� . <br />� �. <br />i;n o�r�e� � Y������ ► �c�a.�., , ,� -�.ah��� � _J���'a <br />� . _ � � , i � i , <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />�ri,�y��� <br />-}'(� ��y��LYMI <br />t'xrstih <br />a�vEl 5 <br />Page 1 of 3 <br />e n.� t���✓t u� �,y �� YC b+�,� �d <br />