Laserfiche WebLink
<br /> <br />~~@~Dm~m <br />J N 1 7 Z001 W <br /> <br />2660 Civic Center Drive By <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.ci.roseville.mn.us) <br /> <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />pp# <br /> <br />1. <br /> <br />/ZArVr> I h . <br />Name of Own er: <br /> <br />6?uAtJ Bt C.K.- <br />(First) <br /> <br />t-f.) tV D ~ LL... <br />(Middle) <br /> <br />(Last) <br /> <br />2. <br /> <br />I f'C}'i? fLY A,J f2.D s r:: v / '-'4f <br />J <br />Address of Owner: (No. And Street) <br />~I d- - t, d-f- - "1~7 ~ C~) <br />01)/ - ~ 'f 'T - 6 {J r 'f (It ') <br />Owner Information: (Phone) <br /> <br />(City) <br /> <br />S-S1/3 <br />(State) (Zip) <br />rl1~ c./<-6tl e,..,.. UMII, ed,<--- <br />(E-Mail) <br /> <br />3. <br /> <br />(Fax) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. /f?>8 /2.Yt:l---y1 <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: D 0 - D D - 0 D - D D - D D D D <br /> <br />~/ <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: fYI A Jt!'-€ II OL C-,A ~ G /f1Z-A 6 ~ <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />1 <br />