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<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 />PAVEMENT MANAGEMENT PROGRAM <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br /> <br />1. <br /> <br />b0\fI~e.S ~. <br />Name of Owner: ' (First) <br /> <br />~ '\ a ~ ~ CJ T"d <br />(Middle) <br /> <br />(Lasl) <br /> <br />2. <br /> <br />~gc I <br />Address of Owner: <br /> <br /> <br />. '2:J - a LJ I t.j. <br /> <br />3. <br /> <br />l.o5'-If~i- 3~S5 <br />Owner Information: (Phone) <br /> <br />(Fax ) <br /> <br />(E-l'vlail) <br /> <br />4. <br /> <br />Applicant (if djfferent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />~ 'B 0 \ \Y\a r-'\ '0 h ~tr~e:r <br />Street Address of Property Involve': <br /> <br />6. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />R <br />R <br /> <br />c. Zoning of Properly: R-1 <br />d, Compo Plan of Property: LDR <br /> <br />~~~.~~~ <br /> <br />Signature <br /> <br />'b~~\'~<\~ <br />Date of A plicati n Submission <br /> <br />APPROVED <br /> <br />NOT APPROVED <br /> <br />B: <br />Title: <br />D,R.C. Review Date: <br /> <br />Date: <br /> <br />B: <br />Title: <br />D,H.C. Review Date: <br /> <br />Date: <br /> <br />Q:\PlanningCommission\Other Documents\PA V8\1ENT J\IAN..1..GEME.'JT PERMIT.doc <br /> <br />"1.. \ r q U) <br />)/ ) \ <br />