Laserfiche WebLink
<br />r' <br /> <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />2660 CMC CENTER DRNE -ROSEVILLE, MINNESOTA 55Il3-PHONE: (651) 490-2279-FAX: (651) 490-2931 <br /> <br />PAVEMENT MANAGEMENT PROGRAM <br />SETBACK PERMIT APPLICATION <br />1'f)f\~TI1f\ (City Code Section 1013.05) P~it # <br />_ '1..Xiu,~€. ,~\AR\{ART <br />1. --JEFFRE'j EDwARD BURK:A~T <br />Name of Owner: (First) (Middle) (Last) <br /> <br />2. -4 33-1-REfI/ ~ ~T.- -RostSl//"'U= I mil) IS 6' II 3 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. 06D- 48~-?'JQQ (&51) &59 'O;Jo7 ~bu('kQ"t~ esp, edt.<, <br />Owner Information: (Phone) (Fax) (E-Mail) <br /> <br />4. <br /> <br />Applicant (if different): (Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />c. Zoning of Property: <br />@ Compo Plan of Property: <br /> <br />lu-UEQJ 1111,5 !-IOUS! filii/) ~~\VF.:.wA'1' (.uHf. Co~'rRvtfTtQ <-;0 ytflR"5 AGbJTtI€~€. Wfd?E d/.)() <br /> <br />7. Comments: ~~S1"~'<:;'TloWS t>tv P.t...p.~j;:rf'd2.l\i( of iHE. ~~\\IE.WflY, j{..J I<s, t/oL(SE. WAs Ov€ Of: <br />l'I-iE flR"5Tid 13€. gUII.:r 01\) 1111'::, ~Uh'pU 'SAc.., XIV THE. TwE/VT'Y-THQEE. 'E.fl.R$ WE <br />I-\f\ve:. Ou.:>Q}E.P 11-\\5 DLuE./-....l..\l\.Jb )J\iE 'DR\II~wI'W )-tffj ~€E.IV OJ,....,/>1...~TEl'l RE.P1...AQ.ED <br />J'LUle..E., NtC.ITlif.K, 'Tlf'Y)E. WI\-S i\1ERf. JYJErvT,oN OF THE. c'1l''J CODI: 1.01-je:.1\J <br />f\N)l..J~F\-flOIVS fo~ PE..~((,\ITS (.oE.~r- Mf\Of.. Du+= To TI-iE. CI~Cl.f/V\")IA~€.s <br /> <br />c:.-vf: ~R.E. 'RE Ql..tE.~/II\)c;, ~F-IBA~K yER,('f"\I'T, \W~tJK YOIJ fDR YCI..d<. COrvsIDE.Rf\~ <br />T fOri) <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 />