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<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 />~~~c\ t:.. <br />Name of ner: (First) <br /> <br />(Last) <br />R~, m", f5~ \1"3 <br />(State) (Zip) <br /> <br />~\t:.s <br />(Middle) <br /> <br />2. <br /> <br />@~\ \ Le;<\ T\~\-o", <br />A 'dress of Owner: (M lAnd Street) <br /> <br />Avs N~ <br />(I ity) <br />Ii 1), <br />(Fax) <br /> <br />3. <br /> <br /> <br />~~3~ <br />(E- ail) <br /> <br />4. <br /> <br />Applicant (if different) : (Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />(PIN) Property identification number: -16' _ -a 9-- -a3 - \.\4 - 00 4~-, <br />a. Present Designation of Land: R e. 5\de",'\io.\ c. Zoning of Property: <br />~-, <br />b. Present Use of Property: \-\(i)TY\Q. d. Comp~ PlaaofProperty: <br /> <br />7. <br /> <br />8. <br /> <br />State specifically what is intended to be done on or with the property w~ich ~ <br />necessitates this Setbac~ Permit: ~~, \ d. ~\A r--~€' sb . <br /> <br />9. <br /> <br />Explain alternatives that ha~e. bten examiIl~ which would enable ou to meet existi~ <br />Code requirements: B\).' ~ '/ z- rt-. S h~ <br />(J' . . f\~_ ,-p J~U? <br /> <br />(J...tt; Ll) e \\ Q~ ~f1 c..~ . <br /> <br />I <br />