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<br />.... <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@cLroseville.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 />SETBACK PERMIT APPLICATION <br />(City Code Section 1013.05) Permit # <br />Fee: $25.00 <br />PF# 3~ 'f Ct, <br /> <br />~ ~\13---='6?"\'-" ~\-\ <br />(Middle) (Last) <br /> <br />~'-< <br /> <br />Name of Owner: (First) <br /> <br />2. <br /> <br />t:';;;?~~ ~'{AN~~ ~V\LU?i '::=~))3 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />&G) ~ ~""6 ~ MB ~~~S~h((J4\tl'!/)11' <br />Owner Information: (Phone) (Fax) (E-Mail) <br /> <br />3. <br /> <br />4. <br /> <br />Applicant (if clifferent):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />(PIN) Property identification number: [JJ ~ - ~ ~ - I1J ~ - [1J ~ - IQ] [Qj ~ [! <br /> <br />~~I,rtz< <br />a. Present Designation of Land: 'P\~I~k.. c. Zoning of Property: 'f< -I <br />b. Present Use of Property: ~ ~ ~M6' d. Compo Plan of Property: .L.~.c.i~..~Jtc{ <br />Re'h I <br /> <br />7. <br /> <br />8. <br /> <br />State specifically what is intended to be done on or with the property which _ <br />necessitates this Setback Permit: ~l~tv.t?-F ~~~ <br />~ ~ AJJB~l~' tvb4~t),L/~6~~ <br />, . <br /> <br />9. <br /> <br />Explain al~ematives that have been ,:.xamined which would enable you ~'l. meet existing <br />Code reqUlreme~ts: ' ~-f::f;!, "h.::j I ~~ ....r ~.e5T' I ~ <br />6+~- Ot-Jb~f-Zt)JN6,(~f') <br /> <br />V~>~L (~H ~9i~fJ~) <br /> <br />1 <br />