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��`� �. . �'�� . s . <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 1013.0� <br />�,�.,, ; � P,eo�:e4�+- -�- <br />,�l RESIDENTIAL PROPERTY OWNER FEE - ��5- <br />° (All fees payable upon submittal of completed application) r�'�`` '"''•°y�+ ,`°`°� <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 Oil�rrer <br />(First) (Middle) <br />���r►�Y +��� <br />2. Address of Ou�ner: (No. And Street) �(City) <br />�38� l��-� ,4-�., <br />3. Name ofApplicant: (First) (Middle) <br />Ei <br />4. Address ofApplicant: (No. And Street) <br />138� lr�%��s��� <br />5. <br />6. <br />(City) <br />(Last) (Phone) <br />� � 6��- 6�1� - �Z�a <br />J � /V <br />(State) (Zip) <br />/��Se-e/J���e, �i �55�/l,3 <br />(Last) <br />�� <br />(State) <br />r <br />�, �� �� <br />(Phone) <br />� s-r — <br />� � [/—Q z �o <br />(Zip) <br />�12��s-�/� <br />Street Address of Property Involved.• <br />! � D � !/V��%� � • 1 �����'ar% �e/ � /%%� <br />State exactly what is intended to be done on or with the property that requi��es the setback <br />permit: <br />�;� "�`�,�-� �� -�=sf' � t S � �n q iC.e� c.uv � i�,ti�.l�-rr� �� � <br />�fl OI�Gi�� {� �Z.Q.[11YL�"�1(,�C.a" 1 /l;� �j� l VCb1JtC.c.r i 11 `,����1 � �?:�� �> i�`__ � ,°r'�. <br />; r T' � <br />7. Explain alte�•natives that have been examined which would enable you to meet existing Code <br />requirements: � <br />� ����/ �i� %v�e� o�t- � <br />� � <br />� �� <br />� -- - <br />_ �,e�- �'O <br />5 � - <br />�;�,�o��c�c i <br />Page 1 of 3 <br />. �- . <br />