Laserfiche WebLink
<br />I " <br /> <br />CitY- of <br />Rl'SBVfPhE <br />Minnesota <br /> <br />^~ <br /> <br />rm OOOt V 1 NVlU <br />l~~illn~@~! <br /> <br />@ <br /> <br />V" " <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.cLroseville.mn.us) <br /> <br />1. <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # 3~qb <br />Fee: $25.00 <br />J) ~ PF#3~ <br />rJ(l ~ C!.' I Lhn ~ lJ /;!.. f? U c A <br />Name of Owner: (First) (Middle) (Last) <br />1;( 3 ~ /U;'LL {)(;o...r' L"J11 ~S~ JlILL ~ Ynn. 61>-11~ <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br />6 S'/..- 633 .. tJ.;<, 7JL. <br />,Owner Information: , (Phone) . (Fax) (E-Mail) <br /> <br />2. <br /> <br />3. <br /> <br />.. <br /> <br />.. <br /> <br />" <br /> <br />.-. . <br /> <br />" <br />4.' <br /> <br />-' <br /> <br />.. <br /> <br />.. <br /> <br />, <br /> <br />~. -5. <br /> <br />Applicant (if different):(Name) (Address) . (Phone) <br /> <br />" 1;<'36 tV /?to~ In, '1fis-ev,L?f-; YJJY}, :::5'113 <br />, Street-Address of Property Involved: . <br /> <br />.. <br /> <br />.. <br /> <br />" <br /> <br />6. (PIN) Property id~ntification number: 0 0 - 0 0 - 0 0 - 0 0 - 0 0 0 0 <br /> <br />.. <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 <br />necessitates this Setback Permit: <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br /> <br />\ <br />