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<br />,,,.,^--,,.,~. .. <br /> <br />CitY- of <br />Dre~~'. '" 'Try Y .D <br />.I.~ 'II ~,....~. ~I ~ <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 />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />Name of Owner: <br /> <br />a#tJ~e <br />Pd-711tf"U <br />(First) <br /> <br />4lt7x,4fJtJ~ <br />06/JN <br />(Middle) <br /> <br />fl#tG)c <br />Ibw~t.t. - jJ~/;; C <br />(Last) <br /> <br />1. <br /> <br />2. <br /> <br />g~OD 7114/tJ3oAJ $7 ~~t-'/~ ~;J <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />ss-/ /5 <br />. (Zip) <br /> <br />" <br /> <br />3. <br /> <br />'5"'1 C;3~ ~3 h?3 <br />Owner InformatioIJ: (Phone) <br /> <br />.:"'::~ <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. .~ fi\ \\~N st. ~6SE:..\) l LL~ j N\ \J. ~'O <br />Street Address of Property Involved: <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. State specifically what is intended to be done on or with the prQperty which <br />necessitates this Setback Permit: I'/X 1. '/ (ill, AM "#-IJ~ I /";I'JAJ <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br />