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<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: (65]) 490-2931 <br /> <br />PAVEMENTMANAGEMENTPROG~ <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br /> <br />("~, '?' '11 <br /> <br />1. <br /> <br />John <br />(First) <br /> <br />Q 0 beet- <br />(Middle) <br /> <br />ThOl \ k\v{ /xv- <br />(Last) <br /> <br />Name of Owner: <br /> <br />Address of Owner: <br /> <br />333 MOIple tAne C-t., f20SEJj I\e N\cJ 55113 <br />(No. And Street) (City) (State) (~jp) <br /> <br />2. <br /> <br />3. <br /> <br />416 -~<b 10 <br />Owner Information: (Phone) <br /> <br />(E-MajI) <br /> <br />(Fax) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />333 Mc\p\-e- Wiv1 e a, <br />Street Address of Property Involved: <br /> <br />(6,6-6V; 11-( / <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 Property: R-l <br />d. Camp. Plan of Property: LOR <br /> <br />b2~~ <br /> <br />Signature <br /> <br />4-:27-q1 <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 />B: <br />Title: <br />D.R.C. Review Date: <br /> <br />Date: <br /> <br />Date: <br /> <br />QWlnnning Commission\Other Documents\PA VEMENf MANAGEMEN"T PERMIT.doc <br /> <br />1 fJ\~ <br />'^.: V <br />