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pf_03231
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Last modified
7/17/2007 1:03:08 PM
Creation date
12/9/2004 6:55:18 AM
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<br />r' .... <br /> <br /> <br />Minnesota <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.ci.roseville.mn.us) <br /> <br />" <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />2. <br /> <br />/93 7 GIu c.-k .Lnn p _ <br />Address of Owner: (No. And Street) / <br /> <br /> <br />(Last) <br /> <br />1. <br /> <br />/~f <br />(State) <br /> <br />55/1 J <br />(Zip) <br /> <br />3. _ t:S/ t3 3, ~?91 <br />owner Information: (Phone) <br /> <br />..---- , <br /> <br />_ 4.- - (1 t!'-y,. - j I -SttJ rl.---- <br />~_ Applicant (if different):(Name) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br /> <br />~t/i t'J <br />(Ad <br /> <br />a ~e.- <br />ss) <br /> <br />(SI 33 t( i/ t??i <br />(Phone) <br /> <br />5. / r J 7C-!u c-k.~t2/J ~ <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: ~ tJ-.a @ - ~ ~ -.ill.r] - ~ t2I ~ ~ 7 <br /> <br />7. <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 />8. State specifically what is intended to be done on or with the property which 'if[~':;_. <br />necessitates this Setback Permit: <br />dd~ Ct -til'~ ~4/' ~4j'~€__' <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />~/'e.. o/'~ /1t? al-hY'/1~;-II/~s' <br /> <br />1 <br />
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