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<br /> <br />Minnesota <br /> <br />!V~c~ <br />!V~lJ <br />4P/? 1 7 <br />llJOO <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE -ROSEVILLE, MINNESOTA 55113-PHONE: (651) 490-2279-FAX: (651) 490-2931 <br /> <br />1. W J: L. L- .I I/.. /1 (j(oB8.rRT <br /> Name of Owner: (First) (Middle) <br />2. ~4t{1 /lI,57'. /I- 1-/3 #/1/5 OY.5L1L. <br /> Address of Owner: (No. And Street) (City) <br /> <br />PAVEMENT MANAGEMENT PROGRAM <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br /> <br />W..1';1/ (\~ L <br />(Last) <br /> <br />.PI A/... <br />(State) <br /> <br />S'!?-/ / Y <br />(Zip) <br /> <br />3. <br /> <br />(,~ 5"'1) - L{ <6"1 - ~ i~ I <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />/VIA <br />Applicant (if different): (Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />KIM 511/"1 e ,A-5 #-:;. <br />Street Add,ress of Property Involved: <br />r E.1R So IV I}t.. <br />a. Present Designation of Land: IfcJ /'1 E. <br />b. Present Use of Property: 5/J/I1 G /1-.5 <br />, (11f71 <br /> <br />c. Zoning of Property: R::..L <br />d. Compo Plan of Property: <br /> <br />6. <br /> <br />7. <br /> <br />Comments: OrR x.v '=- wlf- '!' <br />~B. W t2 (11 0 II ~t) <br /> <br />tfh- 5 <br />XIV <br /> <br />f3 8.&v J: IV 31!--,A1 8.. I') 0 5X 7':]::0/V <br />.:t:'N I? 7 7, /II' fi-12..G {f-{3 tJVf /0 <br /> <br />Ell-s T H-~ 5 /11 {7 c.o;Yl r '-4-:r:. If./' r- ;j-(3 0 U r /3-X-I:.s ,.::(.' /VC <br />PmI'll e. W'l'f Y <br /> <br />,II!~ -!P_ ~~ <br /> <br />Signature <br /> <br />Lf /1 7 JOel <br />Date of Application Submission <br /> <br />APPROVED <br /> <br />NOT APPROVED <br /> <br />, ' <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 DocumentsIPA VEMENT MANAGEMENT PERMIT,doc <br />