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<br />.\ <br /> <br /> <br /> <br />1f J;(jI J q <br />if /5.....00 <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.ci.roseville.mn.us) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />Ed <br />(Middle) <br /> <br />/~7S-~sc P/lh:-E fqq;/ /JI1-AlAJ <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />Name of Owner: <br /> <br />~~ <br />(First) <br /> <br />LE:S 1l=7<- <br />(Last) <br /> <br />2. <br /> <br />~//3 <br />(Zip) <br /> <br />3. <br /> <br />6s-1 03/ If'tJ0 <br />Owner Information: (Phone) <br /> <br />;VolV'C <br />(Fax) <br /> <br />#6 ,(/ G"" <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if ditferent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. S~ <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: 0 0 - 0 D - 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: cp # / ()" X- :2..." W <br /> <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: A)&!/I)G' <br /> <br />1 <br /> <br />\.. <br />