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<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 />1. Sk~w" ( ~V\~f(( <br />Name of Owner: (First) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# .3 ~CJ 8 <br />~\\.\S~'" , <br />(Last) <br /> <br />~'c.~\ <br />(Middle) <br /> <br />~~wa\CI... ~~ <br />(City) (State) <br /> <br />~~ JI '1 <br />(Zip) <br /> <br />2. <br /> <br />~ ~l~ \l~h~ 1)...:\1"-. <br />Address of Owner: (No. And Street) <br /> <br />3. <br /> <br />bS"( - 4 ea. 2. 3fo~ <br />Owner Information: (Phone) <br /> <br />S4~"-- <br />(Fax) <br /> <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: D D - D D - D D - D D - D D D 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. <br /> <br />State specifically what is intended to be d~ on or with the pro'p'ep;y which <br />necessitates this Setback Permit: '\""'t~ ~.(. ~~, ~"" <br /> <br />9. <br /> <br />Explain alternatives that have bee.n examined which would enable :you tp meet existing <br />Code requirements: ,,\~U" '" \.Uc.! ~OJJ ~. bec.t\ e.J:c-.!l-.61.41tc:!.. /' <br />~ -t.'l&\-('-\j S:~V'-:S ~ ~(("P<s>r\{ ';~r (l<UJ-c... -\{..t~ <br /> <br />~'" ~c5.r 0 ~()"'. <br /> <br />1 <br /> <br />