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pf_03146
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pf_03146
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Last modified
7/17/2007 12:46:06 PM
Creation date
12/8/2004 3:54:36 PM
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<br />~. - ........... .. <br /> <br />8. <br /> <br />City of <br />R.4~ <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 />10bD 5 KA-US <br />Name of Owner: (First) <br /> <br />~VLcL /6nc 5'. 1~~lLS <br />(Middle) (Last) <br /> <br />2. <br /> <br />2.G\L\D OLl> \-\WY e <br />Address of Owner: (No. And Street) <br /> <br />f<JJS~V I LLf;. Mt\J <br />(City) (State) <br /> <br />~/)3 <br />(Zip) <br /> <br />3. <br /> <br />~O\ - 'IN .~ 10 12.'417-8Lj(P~ <br />Owner Information: (Phone) <br /> <br />(p(2-5tl3 . lip 34- <br />(Fax) <br /> <br />KlmlL @ RMGMN., CDm <br />(E-Mail) <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 />_ 1..~ - <br />(PIN) Property identification number: [QI ~ - [1J ~ - rn ~ - ~ ~ ~ ~ <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 />9. <br /> <br />State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: R.uneval ~ ~ 5"()~ l ~- <br />'Drlli. - O'Y1.lllftOOt laLm{~: fYI-urJ room. 12 Bo...-th ~. 2 r2.. <br /> <br />~ Cfll^Cl-1 ~ RL-~;tli etttUu ftcnu. ~ ~L &is'hY\(j <br />fY'C;...X'\ ~c.Gth . (o~ <br />Explain alternatives that have been examined which would enable you to meet existing ~ <br />Code requirements: ...}he> N\.L1 1AK').A.,f -fD 6~ Lu~~ ~ <br />5.d to..r ~ to fu ~ CN.ltJ- r1..DW q<VIQ?-- 0--tL6t . nest- <br /> <br />~CJY\cJ. Ul)I~"b-pa-a. - .MlMI~ftIl Jfr~ <br /> <br /> <br />1 <br />
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