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. <br />0 <br />t.�� ° <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. Name of Owrrer: (First) (Middle) <br />��<<-/j7S'c�irc � �7cl�.�ht,1 �LnG <br />—� <br />2. Address of Oivner: (,'Vo. And Street) (City) <br />3. <br />C� <br />5. <br />(Last) (Phone) <br />(State) (Zip) <br />! �j �O Li� ��r� S �•� cl �j, /J� ��� �-z.x-/ /t/�iY S3 �i� <br />Name ofApplicarrt: (First) (.'Iliddle) (Last) (Phone) <br />�/�//�S �!r i/ G ci/nr �c S <br />Address ofApplicant: (No. And Street) (City) (State) (Zip) <br />7� �� Q..��.. s���. � G� � � �,��c G',� ;T ,��� <br />Street Address of Properry Involved: � <br />Z %7� � �- ���.-, S>'` � <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br />G./�- �---z�%if �� /. '�r: 7°�: iic�G f/% �y c!s.-s.•� S� �,�c� f <br />L��/i ��/ .1/�L G%/ lri� T �ZjG.. � �G7 :i /c) � /�` � /�! dvC"C_ <br />%" A c-° ��� d F G�n ��f ,S , cic'� �-�, <br />� �l� <br />C f�il L_�i�� nC�� Cl��.i.���r i JS'��1 Gf:� �Ff J.c�c_ <br />7. Explain alternatives that have been examined which ivould enable you to meet existirrg Code <br />requirements: / <br />�_°_ �—� ly�c! /� c� d y fi •�� �s< �' 7��•, �• � � � �� <br />7'4� � v+o < <- �- �"o �r L � Sf�-�v �'.—ti �rs. <br />Page 1 of 3 <br />