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<br /> <br />Minnesota <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 L ~ r1 <br />(City Code Section 1013.05) Pennit # f.L/ <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />-, ,- <br />'M € I,~~ <br />Narl1.e of Owner: <br /> <br />(First) <br /> <br />(Middle) <br /> <br />M,u~ J:r:/UAILfl <br />(Last) <br /> <br />2. <br /> <br />/378 ~A.VI/ItJAe~ i fJR'; fA..) <br />Address of Owner: (No. And Street) <br /> <br />l2.a.<;'t!!> VI lIt!. )//AJ ,sr::-1/3 <br />(City) (State) (Zip) <br /> <br />3. <br /> <br />ts'j - L ~s-: OR01. <br />Owner Information: (Phone) <br /> <br />6<)1- ~3b-~S- <br />(Fax) (E-Mail) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. 137(2, .5c:._/jJ..'AQ~l- /)r-. w. ,R.,.s.el.Jl/llc: <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: D D - D D - D D - D D - D D D D <br /> <br />7. <br /> <br />a. Present Designation of Land: l2...-.l <br />b. Present Use of Property: t.. - t <br /> <br />c. Zoning of Property: e. - , <br />d. Compo Plan of Property: ,-.. e.. <br /> <br />8. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: CA4tC..'J~;...) +:'<201'.......... <:/JJ~ ,.."'-f{..J~....,.::..j.p <br /> <br />+l> 0.. ~iAf.l.. ~-"'" II 3':::""'''''-5 c <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br />