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1�� <br />.1-� <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHOIVE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br />SETBACK PERNIIT APPLICATION <br />(CITY CODE SECTION 1013.0� <br />� RESIDENTIAL PROPERTY OWNER FEE - $75 <br />(All fees payable upon submittal of completed application) <br />Please complete the application by typing or printing in ink. If the spaces provided aze insufficient, use <br />additional sheets, keying information to the proper item numbers: <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />/��ll _ �5� ����r� � , �3� G. Q <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br />—��o� .�/a��d ���'�� cl;-�� ,�s��l'�e� �N ss��� <br />3. Name ofApplic�nt: (First) (Middle) (Lasi� �Phone) <br />�GG GC �t0 S�� V � 1'�'�''�( <br />4. Address ofAp�cant: (No. Anc�Street) (Ci <br />h') <br />(�s7� a3� �6G� <br />(State) (Zip) <br />oC.�O..� G✓�JOG �r�dy� G�.��� �jsev�G('�- /�'/� .�-�l %� <br />5. Street Address of Property Involved.• <br />, <br />�30 � �/�d���� �� ���/� �������, �ti ss�i� <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit:/_ l /Q� / / � � , . L <br />G�L/`-C� 1h7� </ TO lil°S� l� lh +�X ��hh �(/.LG� Z�% <br />��'�.� � � yt'�SGti �o�<=�,J GL�so C�osrh5 �h <br />�� a��. ��a� -�-� �� (P�.�� � �n�� �w�o � <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: / <br />% �i� D� �� � �-�4rrt� �?v� `-�li�- f aGl ��i v � � CGmpl� <br />-�--- <br />� �Z � 3G ` �f���-l� �o� /� <br />�G� <br />�lo�l�J <br />r.�o� l� <br />f� � � <br />( ���� U,s! �^ <br />`- `��- U s� � �� <br />no f P� d� �e._ <br />� � S`�.o - -l-ey. �� <br />1� i�, o�" ( G�� s�, c.-�.-.� fi,�c., <br />ce d Gy �% a��i <br />�-{�� �, ���s �.� �- c,� � .�� � � . <br />Page 1 of 3 <br />