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��� <br />-y.� <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 />� 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 are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br />��Pi�l l �_U,S� V" � �r�.,. `� � % 0�.3� �, C) <br />2. Address of Owner: �(No. And Street) (City) (State) (Zip) <br />�30� �/��������� cl�-���. �s���;le1 � ss�l� <br />3. Name ofApplic�fnt: (First) (Middle) (Lasi� �Phone) <br />,�`��� a �� sf� v� ��-�� ���� ��� ���� <br />4. Address of App'Zicant: (No. Anc� Street) (City) (State) (Zip) <br />��U..� �voG �r� Gy� G� �C�-� �jSev� �!-� /�/� ��! �J <br />5. Street Address of Property Involved: <br />07;�� � ��d�/ fari U� �rG(� �� rlll/�- i/a%!V SS��� <br />6. State exactly what is intended to be done on or with the properry that requires the setback <br />permit: / / , -f� <br />C'(/�- %!'t '�61 U � �il �.� %h � �1 �X � � � /h � (/LG� � <br />�-F� �.3 Sc'r 5°ti ,r�Q��=� , a �so Glos r�5 �h <br />��e., a �.�. lx �a �,�s —f'� ��.c�� ( /� �e- se-��� �- cv•. c � � f z- ��,�10 , <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />� �� o� ��y � l-��f�� fi�e, "���-f a.�l ��; � s -� �U%�P�� <br />0 <br />(N i 7�� `--a'�u- �1 � �.f"li��-l�- r-�JOv /U b� �v Sln,D,- ��-. `7 Y�-2._ <br />'e-G� �'�' ! � NJ�-'�— �� S � �, <br />�o�l�J SG���h �- `-� <br />�o� l� no � �� �� <br />.... <br />��/ h o.��. � S �t, l-Fzr'n� fl �-C, <br />— US� � �� S0� �— <br />� �-/� �,���s <br />Page 1 of 3 <br />��y ��% ar�� <br />G.J L �,c v� ��� �^ � • <br />