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<br />&f1.{ (' T ft'f 1- (1 '70 <br /> <br />8111? avu~ oJ/?//- ~ <br />tJtt7 ~ 70wIV t./JV;'/& <br />/;2-7-19 ~?Q'1. <br /> <br /> <br />~ /ll!s- 1'~~ <br />p~~ /,() (jJ1/6?'~~' <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 />1. <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br />.&/~N" 1-.. O~{)AJ <br />Name of Owner: (First). (Mi~d1e) (' <br />/75:"5 j?Nr:?t-JOoO Jl:, c..Y/rJttEI//~ <br />Address of Owner: (No. And Street) (City) (State) <br />~)/ - )g'Y-J~t? <br />(Fax) <br /> <br />(Last) <br />,#'IV 5)-/ d ~ <br />(Zip) <br /> <br />2. <br /> <br />3. <br /> <br />bS/ - 7?cJ -tY? S-S- <br /> <br />Owner Information: (Phone) <br /> <br />(E-A-fail) <br /> <br />4. <br /> <br />Applicant (if dilferent):(Name) <br /> <br />5. /?dD Z),qLE(Y- <br />Street l\ddress of Property Involved: <br /> <br />(i\.ddress) <br /> <br />(Phone) <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. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: A /.1.)6- ~ )(/,!;I(j /It:JUSG' ~/rH A <br />~F~ S#7JS~ ~O# ()tl/ Y#e"~" U7H Pk/ CPbJe.e <br /> <br />~ 7#61 ~ /.1" 7~ 'ft/P/ d- "P5Cu~5/(J~ ... <br />, <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />/ <br /> <br />1 <br /> <br />" <br />