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Last modified
7/17/2007 1:10:57 PM
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12/9/2004 7:00:35 AM
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<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@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# ?I:lS 0 <br /> <br />1. <br /> <br />A-A/Ai <br />Name of Owner: (First) <br /> <br />UJl.IlSr <br />(Middle) <br /> <br />~-2: <br />(Last) <br /> <br />2. <br /> <br />;2.1LfS Vr?P'#.- &bvL'J 5r ~ / L,7(- <br />Address of Owner: (No. And Street) (City) <br /> <br />ft?/zl &JZS- - 7D8~ (PI.?I/;25- c../z ~f? <br />Owner Information: (Phone) (Fax) <br /> <br />MAl 55?:J 7 C:, <br />(State) (Zip) <br /> <br />tA./6rctrl C t!!.. fc. VVl-1I1. ~dul <br />(E-Mail) , <br /> <br />3. <br /> <br />4. <br /> <br />Applicant (if diiferent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. 2'151 MILl)I4?~ Av~ <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: D D - D D - D D - D D - D D 0 D <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: "TV 6{)JL-t2 A-A/ A-c:c.c..5SI ~ ,b.,;~ <br />Tl:> M~ '17k- bx/S1J~ f/tJ~ 6- k/tfcu ~# /fCC-6$5 J 6 LC <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: 51 A/cr.-- 17'Ic.-- JlLJI/5L:- /5 Lt/~rz- L/ ~ ~ <br />. . <br /> <br />.SGrMd , IVI? {)lJ/rL i'lznL.AlI'fr1t/c5 J1:U- /N,ht.A-6LC <br />, <br /> <br />I <br />
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