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<br />~'.~~.~<"_'~'_ w..,,~.., <br /> <br />Pf~~ <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@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 />1. <br /> <br />~h <br /> <br />Name of Owner: <br /> <br />~~rd <br /> <br />LnnLDclY_ <br />(Last) <br />~~(lle m0 &S5{/~ <br />(State) (Zip) <br /> <br />(First) <br /> <br />(Middle) <br /> <br />2. <br /> <br />I~~ VI c.kv1d, ~ 0 <br />Address of Owner: (No. And Street) <br />~?t)+30- Ovl?J <br />Owner Information: (Phone) <br /> <br />Ltlu.M~ Cm~~ <br />Applicant (if different):(Name) <br /> <br />(Phone) <br /> <br />(City) <br /> <br />3. <br /> <br />~ <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />(Address) <br /> <br />5. <br /> <br />190~ V,~~ ~.0 <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />(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 b.e done on or with the prope~ which (\ <br />nece~si~tes this Setback Permit: bt.u id a. c9.. ~ Q~ In. *cn~ 0+- <br /> <br />~s.h~ ~ ~ c:rdo- . ~ ~sJiY"l<t ~a ,,,",-*,o <br /> <br />~ ~b-e.J.""OOhJ c..ufJh ~ <br /> <br />9. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: ~ <br /> <br />1 <br />