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<br />.' <br /> <br />3J <br /> <br />--< -. ,-_. - ".~..., <br /> <br />.~ p_~ .m'_"_',,_,~,' ._,. ._.__ ,.. ........"._.._ _. n, .,'_~. ~ <br /> <br />. ,,--, -.~~_ ~ri, <br /> <br />" <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 />1. <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# 2>.;l<f ~ <br /> <br />J)tlr\fJ ~1e,rHlM~ )'"Tr. ~~Atl\N\;Q~o,~ <br />Name of Owner: (Firstr-~ -. (j (Middle), (L:s~ 0 <br /> <br />113LRo>::~~W~st, f2.()s~u7l(LM-fJ 55/13 <br />Address of Owner: (No. And Street) (City) I (State) (Zip) <br /> <br />1!:!;2Jc:~.~~~), I.c-I / (Faxl ,~~~~I\'~i- <br />WD1~~~v-~~ ~'?> -l,;..1.Ps.- q../7D <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. J/r3/ ((Dsd~~IJJ~-r- <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: III ~ - I2l. rlI - ~ 121 - 11] ~ - [g jg ~ ~ <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 />I~;).. I <br /> <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br /> <br />?,-.ri...."....,......,.... .. <br /> <br />. ,- ..~~...- ",.. <br /> <br />. . '..,.,........."."". <br />