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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. <br /> <br />~';f <br /> <br />ISO~ \/\ckv1~ ~-D 1<~( ((e <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />~~~~ <br /> <br />Name of Owner: (First) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br /> <br />:::' f~." <br /> <br />(Last) <br /> <br />2. <br /> <br />m~ $fl3 <br />(Zip) <br /> <br />3. <br /> <br />Owner Informatioll: (Phone) <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. <br /> <br />Street Address of Property Involved: 0 .\ t . '" <br />A~oYB~(~ ~~ <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. <br /> <br />State specifically what is intended to be done on or with the property which <br /> <br />nece~s~s~mU~ ~o~ ~ <br />~sD _~~~~_~ ~~ <br /> <br />9. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br /> <br />h.9 <br /> <br />~ cp1~ ~ a'J~ (~~ <br /> <br />1 <br />