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<br />x <br /> <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. <br /> <br /> <br />2. <br /> <br /> <br />3. (Id? I;),) '1 qq, :3b 1c? <br />tOwner mformation: (Phone) (Fax) <br />. ~n~' ~. 0' I< ~ d Sa ~ f);e {!/tJS/C>;Lj <br />~~ 'liP (}1o/1ro~ !1},f}.t, IJf;Jls, ()J/75S'lJ'3 <br />Applicant (if difJerent):(Name) (Address) <br /> <br />(E-Mail) <br /> <br />(h /;2) ~3f~3qq3 <br />. (Phone) <br /> <br />5. <br /> <br />{J-S ;;'6 (~{/..flAt Rei C.2- <br />Street Address of Property Involved: <br /> <br />(L (); if l3!tJ (~k / Ro5~ur;rxj J;jU) I J. <br />I I <br /> <br />6. (PIN) Property identification number: ~ l5t - ~ ~ - ~ 13 - ~ [3 - ~ [Qj rzJ (9 <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 specifica.~IY what is in. te~ded to be d. one on or ;vith the p. roperty whi~h. . 10 ! <br />necessItates thIS Setback PermIt: th t j/Zft ,fjJ I 1/ b'E~ 0 $d 'UJ! L. 'J..~nllt/ ~ <br />ftt5mf ()..)/th {} .fiJtI7do~it~ f)! ";k??P;;/lM:h:l;ly ;9t1~ ~ drzcf <br /> <br />a /( (1/1:.// t?lfrJ t.Jr ;; L'I g(ZI/'~ tI f- <br /> <br />9. <br /> <br />