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<br />- -' <br /> <br />",d . <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 />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br /> <br />1. <br /> <br />JAYI1ES <br />Name of Owner: <br /> <br />A, C 1114,4. rJ <br />(First) <br /> <br />F u~ Fe. f t-11t+- c K L'"11.. <br />(Middle) (Last) <br /> <br />2. <br /> <br />l.f 20 C G- N 7'7r7'v t\lII1L 1J JIlt . ~t) l' 1::1J/ t.t..r", ;A1 N <br />Address of Owner: (No. And Street) (City) ( (State) <br /> <br />"tHW~-: @,~ '18'1-1.:26'0 w:~s-i) 7$7-/'1'16 <br />Owner Injormation: (Phone) (Fax) <br /> <br />(E-Mail) <br /> <br />5!)/17 <br />(Zip) <br /> <br />3. <br /> <br />4. <br /> <br />Applicant (if different) : (Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. SI1-V'1t-- AI A 6Wr <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: <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 />8. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: /#F A t)n rTto-N Pf:=" 6 /I 1'"0 "!ft:- t:Ar'l <br />~<;;rt'JF trF A I( AY77't CHe'd GAIIlAdl[ ._ 7"0. -c ""'0016L-- A- SIN Gtt:::- S'f,4lL <br />, <br />~ II <br />('; A~146t- /Nr-e> .R( f)()1/l5lF ,.._ I M-I.r wOVt..-11 Cy-n;.7II~ 7- ".,r-o 'mL~ It) 1/ <br />t:: A. J' /:141 t-N""-. <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Coderequirements:---A f~7flVIC-t...- t'1>t'1# CC/1/it:1 I3l;:- L'::-Lll'f'lr"'f't,~2:f AJvJ1 <br /> <br />fNE ArJv1 l"nON <br /> <br />14/;'Y.Jr/l6-/J ';0 ~"'i V 0/"', <br />r ' <br />5'~t/ICC- P1VUI{. <br /> <br />AVI <br /> <br />:r l1 If /If lz.,- <br /> <br />TV <br /> <br />LtHJ1fF <br /> <br />7U 1d. ;-- <br /> <br />1 <br />