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<br />2. <br /> <br />4. <br /> <br /> <br /> <br />Minnesota <br /> <br />cJ <br />7:c; <br />L~7 <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 Sectio~ 1013.05) Permit # <br />Fee: $25.00 <br /> <br />1. <br /> <br />{lJt1d~<s qtJZl;1;J /Yl P~/I;t/CII~ <br />Name of Owner: (First) (Middle) (Last) <br /> <br />:1113 (lJ ;113I1J~~71-f /JQ.7/LLe- /J1 ;J :757/ 3 <br />Address of Owner: (No. And Street) (.city) (State) I (Zip) <br /> <br />,b/2-1{t-rb/77 tJe7&>Y-7h9~ <br />Owner Information: (Phone) (Fax) (E-Mail) <br /> <br />3. <br /> <br />?ft111 'f? <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />~~ <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />(PIN) Property identification number: D D - D D - D D - D D 0 0 <br /> <br />7. <br /> <br />a. Present Designation of Land: c. Zoning of Property: <br />b. Present Use of Property: R-lf.0t111 ~~.IH~ d. Compo Plan of Property: <br /> <br />8. <br /> <br />State specifically what is intended to be done op or with the property which <br />necessitates this Setback Permit: AJG"'lI/ PIZiJ~ ::57C}oP W ITP <br />ctbJe;J fJ/LLA-jL~ -I- t2.;; 1/e.~J) J KLJtJF <br />---r ~---:;;L/l--)j <br /> <br /> <br />EXPlai~alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />9. <br /> <br />1 <br />