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<br />1~Jv~~ <br />S ~ o'D \m <br /> <br />'. <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br /> <br /> <br />Minnesota <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />660 CIVIC CENTER DRIVE -ROSEVILLE, MINNESOTA 55113-PHONE: (651) 490-2279-PAX: (651) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br /> <br />Name of Owner: <br /> <br />MtAl" I< <br />(First) <br /> <br />~'II""M <br />(Middle) <br /> <br />L-c>c. '" <br />(Last) <br /> <br />113~ W Co. aL/3 R#~e~:/Ie JA11l/ <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />~ ~ 1/ '& <br />(Zip) <br /> <br />&;;-/ - 2'-17-f)~2q <br />Owner Information: (Phone) <br /> <br />I/II;P <br />(Fax) <br /> <br />(E-Mail) <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br /> <br />?~"" <br />Street Address of Property Involved: <br /> <br />(PIN) Property identification numbe" I::J BI - @ ~ - Ik} ~ - ~ 0 ~ IS' <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 />pC <br /> <br />.1 <br /> <br />8. State specifically what is intended to be done on or with the property which <br />nec,~ssitates this Setback Permit: .f e'''''' cR9..,." ~ "~J '+.~} . ~ C. re:; , ~ <br />().'h..t /'(;h,,'-/J t", SA s., e- loc...Jf-,,;1 P"lut':- d-... i'" .;rJ.wcJ",..1 <br /> <br />pf'oh Ji'''''' "",,L f() !~r-t"e c"tn 'f...Ct/I"\I-,e... d-e. 2 '4&/C4/S <br /> <br />.,. <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: f~'~ fjA./'.., e '3..l:f Fecrt f'~"'I f/'7f""'? I.\.t.... <br /> <br />tvofllU fJi/oJ.. iflMIoJ6 i..J.... hw,>c o,.,t!/or hAke. /f 1"i:f"r**.,6!e <br /> <br />/-., 2 ilL Clh I" <br /> <br />1 <br />