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<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. 3Jnbt1nJ}A\ moJis,lrh tkJmbef~er <br />Name of~eX ~ ' \ (Middle) 0 (Last) <br />2. ~Lf 3? t<.J~<-f~f n it\) A I, '-::[?OSe\// / Ie, M J. ~/I =1 <br />Address of Owner: (No. And Street) J) (City) (Stattf) (Zip) <br />3. /r;5/-4ffl-7'4"'B .. jJ:.heJM b-e-v--qf'rQ jUhn, C(J)Y) <br />Owner Information: (Phone) (Fax) (lJ-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 />/d- - <br />6. (PIN) Property identification number: ~ ~ - [lJ 0J - ~ Ii] - @I @] [lJ ~ <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 Ploperty which '.j.,.I"' <br />~cssitatcs th!s Setback Permi" I ~ ~~ ~ .5:Ae""- //i II?" - w.5i. . 11 <br /> <br />;o7c'l"d //1 .s-k rd .q p _ #. <br />/ <br /> <br />9. <br /> <br />Explain alternatives that ~ve been e~amined whicg would enable y~u to meet existing <br /> <br />::~:~:~e:;: ~:r;t;;~~:<?~~:: ;;;4 t::~: <br /> <br />;/'Pf?1I'H/d j . <br />. <br /> <br />I <br />