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<br />CitY- of <br />~SBVIbbE <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) <br /> <br />Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. LfA "Y- /2Je <br />Name of Owner: (Middle) (Last) <br /> <br />2. Ilr,5 OttkCrej'-/;Ave ;(o:)e()fl!f/ /IN 55/0 <br />Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. b5(-11o-1/){\o &5/-CjqO/ ~/f/tJ Atl d</DPW)V()fl, U'tY). <br />Owner Information: (Phone) (Fax) (E-MaiO V <br /> <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. <br /> <br />It 85 ()it to rP2/-- /MJ.Q <br />Street Address of Property Involved: <br /> <br />J!v:se/tJ,IIf> J H rJ <br /> <br />I <br /> <br />~5Sll,J <br /> <br />6. (PIN) Property identification number: <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 S~tback Permit: reAl /) tJe e Ki ..1+' /L1 Jjr7A-"~ '~e <br />a.d re#/~('p /'+ I..-h 'f-t\ a /leVt) M/<'1.f ~ <br />/ <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />f! ' /J j} <br />Coderequirements:. /l/!IJd!(.(redl tdbr; AUI''iU2r7J(,tT .j:-IICYt&J. (?hC~~'j/l4 <br />r/)/J/Yl Oh/1'ref!1;f10n.' A O&dP //e44j'cfJ'l l-f-J iJlH, 'f\J}d~HCf1>lf(Vr I //PU.Lc/, <br />( d ( . <br />+// c"! j <br /> <br />