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<br /> <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.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Internet at: <br />www.cLroseville.mn.us) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # ?> '3. ~ if <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />Je~~~t y <br />Name of Owner: (First) <br /> <br />6 <br />(Middle) <br /> <br />Ih4.sKe <br />(Last) <br /> <br />2. <br /> <br />/7~8 .i11l-Lw~f'1 Alt- ZSG'i/ift.t:.r /'?N <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />~S-//J <br />(Zip) <br /> <br />3. <br /> <br />C,SI (;,28 9"o7~ <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if ditferent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. / 7~8 M 1<-t.waoD Ill/( <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. State specifically what is intended to be done on or with the property which <br />necessitates this Setback Permit: Bu Nd <<dd'h?:MtL( .:s-kd e)o"l~ ex,-"h~ <br />td/~~ (a..!k~ t...rI) <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: -&; /~l add. ./, ~1'1 It, oS ~..;. hLU R'. 771,-{" G/n?, h/ <br /> <br />nf:J"c ,d~/cI~ ...5" ,c;;'c,.l:'<Y 7- r(Rj~ ~r ~ 4r'c~ <br />, <br /> <br />1 <br />