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<br />City: of <br />~~ <br /> <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 # <br />~ i~. _e./ Fe., $25.00 <br /> <br />Name of Owner: (First) (Middle) (Last) <br />4;,O'lq~e.tJ.(tJ ~r: )~\J'LU:., MtJ SSJJ~ <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br />'Sl.'~~ ..QS70 (H), ~Sl. ~-;3.~q" ~FA)(J ;J~-5SS7{w) <br />Owner Information: (Phone) (Fax) (E-Mail) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br /> <br />t <br /> <br /> <br />7. <br /> <br />c. Zoning of Property: ft..1 <br />d. Compo Plan of Property: ~ <br />fONDINt, <br />AU..A <br /> <br />8. <br /> <br />a. Present Designation of Land: ~ <br />b. Present Use of Property: . ~T~UE.. <br />~'l- <br />PN~~IN4- <br />State specifically what is intended to be done on or with the property which <br />necessitates this Set ack Permit: <br /> <br /> <br />, <br />(~\ M r\e.~N Fc.t::'..:. ~ oFft 4C.. ) <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />-W ~t.> ~ <br /> <br />1 <br /> <br />~~ <br />J-,zV <br />