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o;' -".'�' 7' S.a ' . . <br />��'�i� ��4` . , - . .... <br />�Fuiu .�. <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,��R _._ <br />;Cl.. RESIDENTIAL PROPERTY OWNER FEE - �-7�- <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. Nmne of O��i�er: (First) (Middle) (Last) (Phone) <br />�%�f/���,a � S�=� �� ��Z' i ��1 t� l� s'i (�� S° �� 7� <br />2. �lddress of Ox�rler: (No. And Street) (City) (State) (Zip) <br />/�/v i �� s� ��w ..% /��e. ,;C�.S c r�. %�¢ ,�?'I �l ; S—/� j <br />3. Na�ne ofApplicant: (First) (Middle) (Last) (Phone) <br />S,�,,.. .� �l � A��o y� e��► �:� .��c-� <br />4. Address ofApplicant <br />(No. And Street) (City) (State) (Zip) <br />5. Street Add�•ess of Property Involved: <br />�y�, ���s Pi:�.� ,��. ��e � ; �� . ��,� �s—s �,3 <br />6. State exactly u�hat is intended to be done on or with the property that requi�•es the setback <br />pe��mit.• <br />�.=��'s-v�i;,. �.: <br />� r � 0 �G1 � � '� rm � �.<i���" "�-ltp G� j? t vC v�JaL,c,� � � -��.4 � . ��1��? �X ;.w ! ^ - �-,� f.. <br />#� <br />. , �, , r. � r � l )'�t ," ';L �C..-� i� �:� � <br />i�l/ i i 1 ir.t.J=.C�..7,1./:� r, �..` <br />�� <br />7. Explain alterrratives that have been exanzined which would enable you to meet existing Code <br />��equirements: , A e <br />�Q��: t � /' P�...t, -�� <br />�^ <br />�t aJ,.�ar �Ilt".�> l�� <br />Page 1 of 3 <br />�1f <br />