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<br />\ <br /> <br />, <br />, <br /> <br />j <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 />~ ~ ~J)01A C)1+e..\Yless <br /> <br />Name of Owner: (First) .A~ddle) (Last) <br /> <br />~qffi f<~bk- 1<cY-. ,~~~UelltJ ~IlJ <br /> <br />Address of Owner: (No. And Street) (City) r (State) I (Zip) <br /> <br />re31,-l L173 <br /> <br />Owner Information: (Phone) <br /> <br />wlL Cf;3'8-'21{"2-\ <br />(Fax) (E-Mail) <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />Applicant (if different): (Name) (Address) <br /> <br />l'idi Q~~\ <br /> <br />Street Address of Property Involved: <br /> <br />(Phone) <br /> <br />6. (PIN) Property identification number: <br /> <br />7. <br /> <br />a. Present Designation of Land: ~ <br />b. Present Use of Property: fZ.. <br /> <br />c. Zoning of Property: K-- I <br />d. Compo Plan of Property: ~ <br /> <br />8. <br /> <br />State specifically what is intended to be dOl\e on or wi~the property which <br />necessitates this Setback Permit: 't:l-r /L... ~. <br />. 0 hJ Ie <br /> <br /> <br /> <br />. hJ <br /> <br />9. Explain alternatives that have <br />Code requirements: <br />S~ (e <br /> <br /> <br />I <br />