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<br /> <br /> <br />Minnesota <br /> <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 Phone: 651-490m2279 Fax: 651-490m2931 <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: $25.00 <br />PF# <br /> <br />1. <br /> <br />JOAJt) <br />Name of Owner: <br /> <br />(First) <br /> <br />I}, <br />(Middle) <br /> <br />SQ.H/4 wT- K/:J$/j <br />(Last) <br /> <br />2. <br /> <br />tj'1I0 lOVELL, Ai/E, ;06EVI'-'-'1: <br />Address of Owner: (No. And Street) (City) <br /> <br />3. <br /> <br />6,5'l- i.!gL/-~Ol/~ <br />Owner Information: (Phone) <br /> <br />(Fax) <br /> <br />/J1/o. ,1:~r//3 <br />(State) (Zip) <br />::r C>/.}N I<AS/1 /JOt F C!.c)"?7~ <br />:k)/1/~1 /r/:l5/7 @ /l1 $IV, eopr} <br />(E-Mail) <br /> <br />4. <br /> <br />Applicant (if different):(Name) <br /> <br />(Address) <br /> <br />(Phone) <br /> <br />5. vda~~~e- {/,~, d~-.?~. <br />Street Address of Property Involved: <br /> <br />(PIN) Property identification number: 0 0 .. 0 0 - 0 0 - 0 0 ~. 0 0 0 0 <br /> <br />a. Present Designation of Land: <br />b. Present Use of Property: <br /> <br />c. Zoning of Property: <br />d. Camp. Plan of Property: <br /> <br />8. State specifically what is intended to be done on or with the property which <br />necessitates this Setback <br /> <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: <br />