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pf_03248
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pf_03248
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Last modified
7/17/2007 1:10:51 PM
Creation date
12/9/2004 7:00:33 AM
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<br />JUL 28 '00 09:45 FR PUBLIC SECTOR SERUICE612 310 6137 TO 96514902931 <br /> <br />P.01/04 <br /> <br />... .. ." ... <br /> <br /> <br />l AAn: <br />ihDJ4 AS <br /> <br />.; <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 />WNW .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.~ <br /> <br />_t-\.~~c.. -\- -Yo\\,\ ,<)+e "hQi\.\( <br />Narne of Owner: (First) (Middle) _ (Last) <br /> <br />3o\1.,p ~S.~~L 'St-.)Jo. l<~.puNJe.... .J1(1) 5'"~{~ <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />(p6l {p3f- q~{pi WS:J 310-fo'~ 1- <br />Owner Information: {Phone} (Fax) (B;",Mail) <br /> <br />2. <br /> <br />3. <br /> <br />---- <br />Applicant (if different):(Name) <br /> <br />5. Sft(r\e., f\'> ~/-L-- <br />Street Address of Property Involved: <br /> <br />4. <br /> <br />(Address) <br /> <br />{Phone} <br /> <br />6. (PIN) Property identification number: 0 0 - 0 0 - 0 0 - 0 0 - 0 0 0 0 <br /> <br />7. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />c. Zoning of Property: <br />d Comp. Plan of Property: <br /> <br />8. <br /> <br /> <br />(c~) 15 <br /> <br />N <br />N <br /> <br />Jito.. <br /> <br />9. Explain alternatives that have been examined hich would enable you to meet existing <br />Code requirements.: SCi?e. a,h(;t\ <br /> <br />1 <br />
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