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<br /> <br />'\ 01-/( <br />Y-..,. ~ (/ <br />,'0.-). .' <br />. . ./'f4 ,............. <br />- .. (\' ~y!" <br />I( ,uA& I <br />dt- ! <br /> <br /> <br />Minnesota <br /> <br />COJ\<IMUNITY DEVELOPMENT DEPAHTMENT <br />2660 CIVIC CE,\TEH DHIVE -HOSEVILLE, MJ:\:\ESOT;\ 5;, 1130PHO:\E: (651) -1'JO-22790F:\:\:: ((,51) -1'JO-293I <br /> <br />PAVEMENTMfuVAGEMENTPROG~W <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit:; <br /> <br />1. <br /> <br />i{~! LIAd1 <br />Name of Owner: <br /> <br />~t&/C <br />(First) <br /> <br />{? A/' ~ <br />IJ#; . ;J6-1/d/J1 <br />(,\fiddle) <br />!2o{c)411E AIJ~ <br />(Cily) (Slate! <br /> <br />( LIS t ) <br /> <br />2. <br /> <br />2 705 ;/Z111ICJ~ ST <br />Address ofOwncr: (,Vo. And .')'trel'f) <br /> <br />.z).5 / I f <br />(/. ip) <br /> <br />'J <br />.J. <br /> <br />~,/ if <1Lj ~~h2{; <br />OH'lJer Information: (Phone) <br /> <br />(Fax) <br /> <br />(I:-,\lail ) <br /> <br />4. <br /> <br />Applicant (ifdifferent):(,Vame) <br /> <br />(A d d re,.;s) <br /> <br />(! Jfw He') <br /> <br />5. <br /> <br />Street Address of Property In FolFed: <br /> <br />6. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />H <br />K <br /> <br />c. Zoning of Property: B-1 <br />d. Compo Plan of Property: LDH <br /> <br /> <br />? <br /> <br />3 -' 5t:? .- 11 <br /> <br />Date of Application Submission <br /> <br />APPROVED <br /> <br />NOT APPROVED <br /> <br />B: <br />Title: <br />D,R.C. Review Date: <br /> <br />Date: <br /> <br />Bv: <br />, Title: <br />. D.R.C. Review Date: <br /> <br />Dat.e: <br /> <br />Q:\Plannmg CommISSIOO\OI her Documents',PA \'F...\1E.'\T ~ 1:\:\:\(~E,\tE~T PER.\IIL:lo( <br /> <br />o ,VJ\ <br />')'7 <br />