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<br />~ --. <br /> <br />City of <br />.SBVIbbE <br />Minnesota <br /> <br />~ <br />f5 <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.cLroseville.mn.us) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br /> <br />1. <br /> <br />fEr IC- l< ~s T~,-b-r-50l') <br />Name of Owner: (First) (Middle) <br /> <br />2911 vVcx:-;dbndje. S-i::: R~:Rvd Ie.. L Nl/\J <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />551/3 <br />(Zip) <br /> <br />(Last) <br /> <br />2. <br /> <br />3. <br /> <br />~s- (-4&/-651-" <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />(E-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 /> <br />6. (PIN) Property identification number: 0 0 - 0 0 - 0 0 - 0 0 - 0 0 0 0 <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 ~his Setback Permit: "-kw Lift b C) pe-'i'j nQ ~ '5 ~ M <br /> <br />'y(()f0"-hy \I.-'\t". f'Jeed \.lcrlC4o"\ce. in. crd.er..ti p-k It"\ n~~ <br /> <br />(~("'\vewa...y ok) .'V\ee\- a/b ap<"" j.:J <br /> <br />Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: V\Jv.J1d ho..-..e b relCLG\..\::e.. I'\i:',v.} Cur\-) ("'F.:J <br /> <br />9. <br /> <br />1 <br />