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<br /> <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-2931 <br />E-mail: dennis.welsch@cLroseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.cLroseville.mn.us) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />~e.~ l\o\JL <br />Name of Owner: (First) <br /> <br />~e.L/\ <br />(Middle) <br />~ ose-v~1le- M ~ <br />(City) (State) <br /> <br />/Y11..1~J/<< <br />. (Last) <br /> <br />2. <br /> <br />~ LA, ('.0 ~JL ~ <br />Address of Owner: (No. And Street) <br /> <br />S5 J Icl.. <br />(Zip) <br />\ M l.7e-\krt1j) <br />(E-Mail) A^~~~ ~I' <br />.(JQm <br /> <br />~$I -L.fig-~~Q.. (d;'J - 4~'i-~1g'(.p <br />Owner Information: (PW110ne) 0/1- (Fax) <br /> <br />tAJ01'" k- ( f--P) \ 22- l- 't~~ I <br />Applicant (if different):( ame) (Address) <br /> <br />5. q~1 W (to. \2-0- \S <br />Street Address of Property Involved: <br /> <br />3. <br /> <br />4. <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. Compo Plan of Property: <br /> <br />8. <br /> <br />State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: -- c:> \ e.. a..L- B ~ S-+7' '1. <br />~". ~~ &, ~ '- <br /> <br />JVew ~ C10 ~S€f2 ~e;..,.~ & Q. ~~"i-- ~ C> <br /> <br />I <br />Q.4 <br /> <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br />