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� ,�.�T� ��,� - � , COMMUNITY DEVELOPMENT DEPARTMENT 2660 CIVIC CENTER DRIVE ROSEVILLE, MINNESOTA 55113 PHONE: (651) 490-2279 FAX: (651) 490-2931 (City Code is available on the Internet: www.ci.roseville.mn.us). SETBACK PERMIT APPLICATION (CITY CODE SECTION 1013.0� . � , � � � s�L,t° �- � RESIDENTIAL PROPERTY OWNER FEE -�-'�5� �. o , �` (All fees payable upon submittal of completed application) r� ''4 �`''°'' '' -'f� Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use additional sheets, keying information to the proper item numbers: 1. Name of Owner (First) (Middle) '1��i'�'3�:.� �. 2. Add�•ess of Owner: (No. And St��eet) (Ciry) �-i 5�� u,�,v n �CU'C_ t� r 3. Name ofApplicant: (First) (Middle) 4. 5. �� Add�•ess ofApplicant: (No. And Street) ��'�v�f. St�-eet Address of P�°operry Involved: (City) (Last) CL1v1z- (State) vi� V�N (Last) (State) (Phone) (i,�51—��I— Ill �: (Zip) �� (Phone) (Zip) `��-� 6. State exactly what is intended to be done on or with the properry that requires the setback permit: _ � ,_ . �. , ; ,,.- �-, � , . � _ _ �.�, v%:�—°; ;r� , _-. � 1 ,"�— S `: �� r� <n i�. C..U,'l-a i1Z.t.�_r.fi—T�.� t�, � '�`r';,� �� S"�. i i"� v� '- t�' '%') j'�f � 1'L�" l�?.d A(�" I% l� � t V�VtJLL,c.r 3✓i ,� Y1 � j� 1�'� I?.t'�� C�`` �' , 7— , ;, .� . , .�_. - . ' a � � , R ; .. �..i=`-'-,`;.�,:it_,, .�_-`, t'.. .�� , � . ` _" �r ��. ":.i C - . lrr 7. Explain alterrratives that have been examined which would enable you to meet existing Code requirem�nts: r. + � `i . + ,,,�1` ia.nn ;�.�;'�\s>. 1:, �1 tl' (';� (�.�(/l il%� 1.'`:l... �' I.i V ,- (- - �T. ! Y/i ,._ . _ _ ��n� �-��c� � u'v�t — Page 1 of 3