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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.usf1[1;n IV] ~ffi <br />(City Code, Zoning Map and Comprehensive Plan Map are availa on Ptn~eme'F. ~ <br />www.cLroseville.mn.us) 0 5 2000 ~ <br /> <br /> <br />SETBACK PERMIT APPLICATIO <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />H00jRU <br />Name of Owner: (First) (Middle) <br /> <br />\?'~ ?;QJV{\~~ Aw,_vJ. JQS.VL- {V1N <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />(OS-f-f"q-oj3{ <br />Owner Information: (Phone) <br /> <br />~f/ .3 <br />(Zip) <br /> <br />5.A~ <br />(Last) <br /> <br />2. <br /> <br />3. <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (ifdifferent):(Name) (Address) (Phone) <br /> <br />5. -,8-44 G'QJr ;'J.je.. Ave- cJ. I !<05.12-UJ'({e) IV).tJ <br />Street Address of Property Involved: ' <br /> <br />6. (PIN) Property identification number: []] ~ - 11} ~ - IJJ. ~ - ~ [D - [Q] @j [] @ <br /> <br />7. <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: R. -I <br /> <br />R-I <br />t-R. <br /> <br />c. Zoning of Property: <br />d. Compo Plan of Property: <br /> <br />8. <br /> <br />State specifically what is intended to be d?l1e on or with the property which tJ <br />necessitates this Setback Permit: W ~~ l//KIR --h> tloL{ Ce1"\ ~ C!JV{},.(-.e..A;. <br />::f()"n-t1~/ tNA,'cA ~ll/ /JA/v€, tm eAt:A/DO-e-h ~ of r <br /> <br />+A'- ~ d:&: ~~ q(J fe41rbrl.f- J-L ~. <br /> <br />9. <br /> <br />Explain alternatives that have been t;.Xamined ~hich would enable you to..!{!;;;existing <br />Code requirements: LA9(?~aJ J-n-h:, 7"~ ~ ~ _. }e.-- <br /> <br />fA Q,fuw- f1\~(/~ CA~ ~ 94\ltV J-{lQ, f~ ~. <br /> <br />1 <br />