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<br />Ow <br />~)Sl <br /> <br /> <br />(~l \:"ov \J jAi/\~V' <br /> <br /> C\J 1. <br /> ~ <br /> ~ 2. <br /> , <br /> <1\ <br />~ 0 <br />tr\ 3. <br /> - <br /> .---..... <br /> ~ 4. <br /> C) <br /> 5. <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CMC 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 />f\ FF~$25.00 <br />f-\~~p..ew ~\N.vLl1VeN <br />v.,\ JJ tJl1~E N [L- AtA~\::) l <br />(First) (Middle) (Last) <br /> <br />ALIA \LSTt'r DiL ~\lILLE fW ill/3 <br />(No. And Street) (City) (State) (Zip) <br /> <br />WlLL1 ^-M <br />JJAOYA- <br /> <br />Name of Owner: <br /> <br />J610 <br /> <br />Address of Owner: <br /> <br />71 <br /> <br /> <br /> <br />Applicant (if different):(Name) <br /> <br />~1O AIfu, l)i~r <br /> <br />Street Address of Property In va ved: <br /> <br />(Phone) <br /> <br />(Address) <br /> <br />~o~v;l\-e <br /> <br />6. <br /> <br />MJJ <br /> <br />ltl <br />(PIN) Property identification number: II] aJ - 12].. [11 - ~ ~ - [OJ [Q] IJ] ~ <br /> <br />55 J L3 <br /> <br />7. <br /> <br />a. Present Designation of Land: ~, <br />b. Present Use of Property: sr. <br /> <br />t2--\ <br />f<-L- <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 p per <br />necessitates this Setback Permit: ~ <br /> <br />9. <br /> <br /> <br />1 <br />