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<br />.~ <br /> <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE -ROSEVILLE, MINNESOTA 55113-PHONE: (651) 490-2279-FAX: (651) 490-2931 <br /> <br />1. <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # 711- ()O / <br />Fee: $25.00 <br /> <br />~6t1# <br />(First) (Middle) <br /> <br />dJ. kd ~/~ (b~Y///e <br />Address of Owner: ( . And Street) (City) (State) <br /> <br />~5/"6~3- ff~o <br />Owner Information: (Phone) <br /> <br />~ <br /> <br />aJ, <br /> <br />Name of Owner: <br /> <br />(Last) <br /> <br />2. <br /> <br /> <br />HI! :!SYB <br />(Zip) <br /> <br />3. <br /> <br />;;~3-~~~ <br />(Fax) <br /> <br />J CA;eL --r~ @A-f;t.., ~ <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />8M:- <br /> <br />(Phone) <br /> <br />~~Y//7{J) d/ <br /> <br />, <br /> <br />5. <br /> <br />/ ~~ .&:4;e <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />Complete Legal Description of Property Involved: ,( ~ "7 <br /> <br />6~/~ L,p~ ,-~L2~$#~ ~~ <br />~~~€j ~~ I /'??/~R <br /> <br />&/tt'C.,c / <br />~.^ <br /> <br />7. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />c. Zoning of Property: <br />d. Compo Plan of Property: <br /> <br />8. <br /> <br /> <br />-- <br /> <br />c <br /> <br />2B.3 -.r <br />/9 ~. ~ <br /> <br />9. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: ~~ .?~ ~A--CIC ~~LJl?6-r- ~Gt' <br /> <br />~ #~,V6 ,aI--'7;p ~~ @m/ <br />/ ~ V' 6./b'd/H6 ~;e. . a~. <br /> <br />I <br />