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�' �°�'' <br />���,�:� <br />�s-° � ��.��- <br />'"`-=� <br />-.�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 1013.05) <br />� RESIDENTIAL PROPERTY OWNER FEE -$�5� � 1� ���} <br />- �rv_. �. ��� , � . ; <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. Na�ne of Ox�ner: (First) (Middle) <br />2. <br />3. <br />Add��ess of O►1�ne�- <br />Name ofApplicant <br />L- <br />(No. Arid Street) (City) <br />� u �w (� ���..,., �^ � <br />(First) (Middle) <br />�1�-„ <br />4. Address ofApplicant: (No. Arid Street) (City) <br />t K �� � <br />5. Street Address of PYOperry Involved: <br />(Last) <br />�"�i �t� <br />(State) <br />�. �. <br />(Last) <br />��Y <br />(State) <br />., � _ w � <br />(Phone) <br />�„ S l — ���(?- - c3c�7"�S' <br />(Zip) <br />(�s�.� l,t.� � W� � Ss I i 3 <br />(Phone) <br />ST � - �} ��Z' C?!.> 7� <br />(Zip) <br />sc,�. �� G_�l✓ 5�( c 3 <br />C �{ 3�l ����-�' '.� �„��- _ l,,s . ,�,�� � �- , cN�N - S S'l � <br />6. State exactly what is intended to be done on or with the properry that �°equires the setback <br />permit: <br />� � ..�r-; `�f�a i , �-__�- { � �+(1;01 k'.,QJ CG"r ;..�:1 ►�i1,.l��C�Y'�C� �'".t�t ; �i�i , ��! ; <br />1 - U � �� <br />l ( I V � '� ;9 ti. ._ i � ��\.L 1 lwi 1 �,�1A �� �� t � �� f � YIJLA_/l/1 1 i � , n .A�11. �{ �`: �.� � �f `, ��Y + �':_...., ,. . . . <br />_� <br />` �1 � : . , <br />3 �✓ ' / � L r J�:s:_ <br />7. E.rplain altei°��atives that have been examined which would enable you to meet existing Code <br />requirements: <br />'� rI . II ��i <br />' � � e � c, �,.-,r-c. Y �l M � o `�-+' �� l'i'�✓ ^a'� "�v <br />. <br />D�e� �: c� c. �. c1 S`-f a�-�c- �; �..,,���� � � v� �'�L..c.- D r� De� ��� �:.� sc, •.�� <br />��-�t "�- ��5�- �5 5��•�: <br />�`��" e�,C��, I.- <br />�". �'ll ° �( t-wtw c,. � <br />U <br />��'�� �� WL-� <br />�c...c-� c r� Z� <br />�ti.. 2 � � C� <br />�,�. i � L1 � <br />� <br />' �n c.,-� � 1 <br />nti✓ S �� ��S- � �J 7� '�C LIG�L,t' L+.o G�'.� <br />� ��-Li.:--2�- �/'ti� a. � � v-C�-,..c.�"� , ' j Y.L, �^a'-�f t-� ,.,�6� S <br />Page 1 of 3 �V r��� <br />