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l�� <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 1013.05) <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. <br />2. <br />Name of Ovt�ner: (First) <br />�c- s� �u � ��� -1—+.�c--- <br />Address of Owner: (No. And Street, <br />( iddle) (Last) (Phone) <br />��«1�,�' � ._ � K � cos I ' S�"� - 5��- <br />�i� - �ci� � • <br />(Ciry) (State) � (Zip) <br />3. Name ofApplicant: (First) (Middle) <br />� �F ►�'�- R--� �.�,� � <br />4. Address ofApplicant: (No. And Street) (City) <br />5. Street Address of Properry Involved: <br />. <br />N1,n� a ����3 <br />(Phone) <br />(State) (Zip) <br />�l ic� � uN-� �L-. � . �.��s'� <br />6. State exactly what is intert ed to be done on or with the properry that requires the setback <br />permit: <br />��� a �-1 - a� "� � r�od��-- I � ti,. �j,�� i�� ��� <br />7. <br />_ �r �3a� fl� � ��� -I�i,.� <br />�w w�,e, � h�.�- ls�(� � <br />is <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />01 Ve�'y � u-v. , i-p�1, 5� r+c: <br />a � G�t/ <br />S <br />���5'� ` <br />, <br />>.J��C� �u i <br />_ t.� �. " <br />L- /wTi <br />�-Jd �, hs� �4'�-�- � 5�Q- o,!- ��#�' <br />Page 1 of 3 <br />