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<br />~-:--=: <br /> <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CIVIC CENTER DRIVE -ROSEVILLE, MINNESOTA 551l3-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 />JtI~P~S ~RI/47 <br />Name of Owner: (First) <br /> <br />"- <br />(Middle) <br /> <br />tv.! /~ o.t;. <br />(Last) <br /> <br />2. <br /> <br />9,t/ 33 ;t/o- <br />Address of Owner: <br /> <br />SF 1I/,6Q/ps <br />(No. And Street) (City) <br /> <br />#;1/ <br />(State) <br /> <br />65//3 <br />(Zip) <br /> <br />3. <br /> <br />h s /-- If ~ ~/,- (;:29.t <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if difJerent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />6. <br /> <br />Street Address of Property Involved: <br /> <br />a. Present Designation of Land: ~- , <br />b. Present Use of Property: <br /> <br />c. Zoning of Property: f2 - I <br />d. Compo Plan of Property: <br /> <br />7, Comments: ~ ~~ ~ ~ ~ .~ <br />~../~~ ~ <br /> <br />~ <br /> <br />~~ <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 DocumentsIPA VEMENT MANAGEMENT PERMIT,doc <br />