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<br />4. <br /> <br />~'C:~/4 tb <br /> <br /> <br />1 <br /> <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE eROSEVILLE, 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 />Nameo~~;}r'S~{ffi (') f<.(jJf~ ^~ <br />q 19 Sh.e-n Sf. CJ eU7 (~ <br />Address of Owner: (No. And Street) (City) (State) (Zi ) <br /> <br />owner~;:~uo~Z;;J] ~ ~ <br /> <br />2. <br /> <br />tv '55(( <br /> <br />3. <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />5. <br /> <br />r:~cl.M1 e... <br />Applicant (ifdifferent):(Name) (Address) (Phone) <br /> <br /> <br />Street Address ofPrope~~) d 0" '""\ <br />\ ,- 'l q ~J-~ - ~""\ -0 d-d--.. <br />(PIN) Property identification number; D D - D 0 - D D - D D D D <br /> <br />6. <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. <br /> <br />State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: ~ <br /> <br />. ~~e... <br /> <br />9. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />See-- ~~ fCF <br /> <br />1 <br />