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<br />f <br /> <br /> <br />Minnesota <br /> <br /> <br />S> <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490-2279 Fax: 651-490-29 <br />E-mail: dennis.welsch@ci.roseville.mn.us <br />(City Code, Zoning Map and Comprehensive Plan Map are available on the Intern <br />www.ci.roseville.mn.us) <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />K ~~~'Y <br />Name of Owner: (First) <br /> <br />C 2.. 7 N~ <br />(Mro&~ ~~~ <br />.AUf" . Ros'f::1})2U.. ,M N 'SS;:-))3 \ <br />(Cit!y) (State) (Zip) <br /> <br />2. <br /> <br />) 731 s-r.-4 1Vi$t<., D~ <br />Address of Owner: (No. And Street) <br /> <br />3. <br /> <br />, ~s!j 636-~ 7d::.S> <br />Owner In/or atiOJ1: (Phone) <br /> <br />(Fax) <br /> <br />(E-Mail) <br /> <br />4. Sl.l~.:9~c:::. (A~ 6S4/~'MR~ ~ ~ ~l... ~s.ns~) <br />Applicant (ifditferent):(Name) (Address) . (Phone) <br /> <br />5, )7 54 Sr~r>~,~ AvE. <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 done on or with the <br />necessitates this Setback Permit: <br /> <br /> <br />9. <br /> <br />~-~g~".-<~ <br />~d,.1 -- -- ,---~ ~J<5)~ <br /> <br />Explain alternatives that have been ex med whIch would enable you to meet existing <br />Code requirements: <br /> <br />1 <br />