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pf_03122
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Last modified
7/17/2007 12:41:32 PM
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12/8/2004 3:51:39 PM
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<br />.... <br /> <br />~ <br /> <br /> <br />Minnesob <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE .ROSEVILLE, MINNESOTA 55113.PHONE: (651) 490-2279.FAX: (651) 490-2931 <br /> <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br /> <br />1. <br /> <br />...j"" YI1~J <br />Name of Owner: <br /> <br />A; c: It ArV.. rJ <br />(First) <br /> <br />rLtc-/ .r C Ii ii It C ~L./n.. <br />(}v!iddle) (Last) <br /> <br />2. <br /> <br />lf20 CL=-NIClIJNfI'fL ,j,rt, i!C,J"L-1,iW'- , <br />Address of Owner: (No. And Street) (City) <br /> <br />!fq-1\ofc': @'J-11./5l-/,2{(/ w:&SJ 7$7-/9'1(" <br />Owner biformation: (Phone) (Fax) <br /> <br />fA l r.c <br />(State) <br /> <br />:)'3~/ ( 7 <br />(Zip) <br /> <br />.., <br />-'. <br /> <br />(E-}.,fai!) <br /> <br />4. <br /> <br />Applicant (if different): (Name) <br /> <br />(Address) <br /> <br />(Phonl!) <br /> <br />5. S'/1-i''1.-1 c-- A f /1 ,) {1/L'- <br />Street Address of Property Involved: <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 />j <br />I <br />I <br />I <br />I <br />I <br />II <br /> <br />6. <br /> <br />(PIN) Property identification number: <br /> <br />8. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: -r,iF A fJn rncw tF 6'..r rG (la'- C.As',';- <br /> <br />srtJ[- tTF A f{ A7T7'I CHt:?'J 6AI'/.ACr , to C NA !vCl'. /f S',N (;Lt."" S"ALL <br />I <br />~. II <br />(;ANt4Ct- IN/C) &>C iJovt.5i.[. lIt-If w\:(d.,j CJ(fl-7Vr) 2 (Nt{) i'U'-/()" <br />(:-- A J'C'I'" ~NT". <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements:-A 5'L:~ V/Cl'- tJ~ CC.1/<.y) lJi~ L,-L(yfrr,fllft ,t:'J:1 AJvrJ <br /> <br />TO L tJ-t' Sf' <br /> <br />/N 14. r- <br /> <br />.5L-7It VI(' l: - <br /> <br />~NlV '7 fl,. <br />r I <br />vJ~-t~i( , <br /> <br />R "1- <br /> <br />T d IIAlz..- <br /> <br />(Nt.'::" AJ1J11/"770AJ ~J:YJL/({.'-t'J r-o <br /> <br />.~ .~6\.. <br />0' '(\;. <br />
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