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<br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CNIC CENTER DRIVE -ROSEVILLE, MINNESOTA 55113-PHONE: (651) 490-2279-FAX: (651) 490-2931 <br /> <br />PAVEMENT MANAGEMENT PROGRAM <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br /> <br />1. <br /> <br />ElJ ~I::.IJ E <br />Name of Owner: (First) <br /> <br />J()Ij/J <br />(Middle) <br /> <br />WdcfJ/?L./:-- <br />(Last) <br /> <br />2. <br /> <br />J;-.5fr; L(j Si:.....'fiiIJJVT /j-vr <br />Address of Owner: (No. And Street) <br /> <br />!<t6J;VjUt:- <br />(City) <br /> <br />If# <br />(State) <br /> <br />.!:J-S //..3 <br />(Zip) <br /> <br />3. <br /> <br />ts / -'1-8" 3- Lj. ~)- <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if different): (Name) <br /> <br />5. lfSt, W 5E"i/JA/T J,-vt <br />Street Address of Property Involved: <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />6. <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 />7. comments:-r~k~~(\~~~ ~~ <br />f~~ ~ ~4-( ~. dJr~41f~~'~.~~' <br />~~ /)~'i= ~ ~ k< Clti dJ,_L_ <br />~~ 7 ~' <br />s~; t-r/~. <br /> <br />Date of Application Submission <br /> <br />APPROVED <br /> <br />NOT APPROVED <br /> <br />B: <br />Title: <br />D.R.C. Review Date: <br /> <br />Date: <br /> <br />B: <br />Title: <br />D.R.C. Review Date: <br /> <br />Date: <br /> <br />Q:IPlanning CommissionlOther DocumemsIPA VEMENT MANAGEMENT PERMIT,doc <br />