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�� I � <br />'' `'.�°������./�...% <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNE50TA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.rosevillc.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. lf the spaces provided arc insufficient, use <br />additional sheets, keying information to the proper item numbers: <br />1. Name of Owner.• (First) (Middle� (Last) (Phone) <br />�a,vz� �c.►a.c�s �a ��b� LSI - 28�5'- 3s,f.s� <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br />/7��o C�a,l�'s�Jar'� ���, IV . �aS.c-�i�� Y� � SS/ � 3 <br />3. Name ofApplicant: (First) (Middle) (Last) (Phorre) <br />.5.�. au � / <br />4. Address of Applicant.• (No. And Street) (City) (Stnte) (Zip) <br />5.,..�.� a+ �` Z <br />5. Street Address of Prope�-ty Involved: <br />�.,w� c�a � Z <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br />c� W O�.LI.t?[ i. �(Gt ��• �• ��� G Z�' �lC 3 l� '� c� �c•� t. ir� d ��. ✓ PD <br />L'sw�D�c.. t.�.J �`ik. f� Cs� ��� S�u.,�, u L.�. �,�-K �4..� g c� �..c u�.� <br />(�LOU Lc � �.0 S'% (c�c.�. a r t �� C. Z, � <br />b A G�� 9 2�/O N(K `��--1 ✓ e�j u. �! a� S` v''� � H. r.,. c. r... .G-tM„ °�( µ� rCI� r i. t Ke. <br />7. Explain alternatives that have been examined which would enable you to meet existing Cvde <br />reyuireme�ts: <br />�L -� �• 5�-�- ��� �.mc ,. w< i� fs r� o'� a.. A u�ro ��c� `{-�� 4 a Y 4 <br />�� <br />�� <br />��� e.K r c n1.r w c l( (o.� Z 2" J� 3�. 2 s' "� c,n,.,, o(�, <br />- (� c 7�t, 5�(.�.� ��c.'� �c � �'l6 � �' �� - <br />Pa�;c 1 of 3 <br />