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pf_03166
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pf_03166
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Last modified
7/17/2007 12:50:25 PM
Creation date
12/8/2004 3:57:07 PM
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<br />.. <br /> <br />.- <br /> <br />: - '"~"-' 'r""- - -. <br /> <br />----- <br /> <br />-." - - . ~ ',- <br /> <br />CD <br /> <br /> <br />~~/fo~ <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DRIVE -aosBVILLE. MINNESOTA 55113ePHONE: (651) 490-227geFAX: (651) 490-2931 <br /> <br />1. <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />A~~i., ~.,,, f\eAfJs~ Fee: $25.00 <br /> <br />~tfAG J S.,e.,...,.SDN ({m <br />Nam~~First) (Middle) (Last) <br /> <br />II" 0 L. ..." ''':) hAJ Ave [2.,...,,1'... mlJ <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />I. $'" , " ..4 ., I .., 0 <br />Owner Information: (Phone) (Fax) <br /> <br />;mil Ma,n'-( fknC-('l\.., <br />~t (if different):(Name) (Address) <br /> <br />f g&/-o L e 1'1 "~'rQ..J Auc <br />Street Address of Property Involved: <br /> <br />.,; <br /> <br />2. <br /> <br />3. <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />(Phone) <br /> <br />5. <br /> <br />.--.--., - .-..- <br /> <br />6. (PIN) Property identification number: 0 0 - 0 0 - 0 0 - ODD D <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. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: f3u..Z,-.Q ,~r_~ <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br /> <br />" ",';",-, <br />
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