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<br />NOV-14-2001 10:15 <br /> <br />ROSEVI LLE-COMM-DEV <br /> <br />6514902931 <br /> <br />P.01/03 <br /> <br />.... I <br /> <br />rIa: ~.S~~ <br />~~b <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 COd8, Zoning Map and Comprehensive Plan Map are available on the Internet at; <br />www.ci.roseville.mn.usJ <br /> <br />SETBACK PERMIT APPLICATION <br />(City Code Section 10B.OS) <br /> <br />Permit # <br />Fee: $25.00 <br />PF# <br /> <br />1. <br /> <br />lUll \ <br />Name of (First) (! ddle) <br />gO q YCc(Ue( AWJ1lfG tvC;(J/U (!lp) mO/! ~5j 13 <br />Address of Owner: (No. And Street) (City) / (State) <br />5h QJJ ItOh ~ <br />5/ ~ Ltg ~ :t- <br />Owner Information: (Phone) <br /> <br />(Zip) <br /> <br /> <br />LlA1non p, <br /> <br /> <br />(Last) <br /> <br />2. <br /> <br />3. <br /> <br /> <br />4. <br /> <br />V(4 <br />Applicant (if different}: (Name) <br /> <br />(75?)q paJDU,r A-I/ff1Uf, <br />Street Address of Property Involved: <br /> <br />(Phone) <br /> <br />(Address) <br /> <br />5. <br /> <br />6. (PIN) Property identification nrunber: [I] [gJ - [j [3] - ~ ~ - IT] ~ - IQ] [QI ~ ~ <br /> <br />7. <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. <br /> <br /> <br />ud-v~ <br /> <br />9. <br /> <br />1 <br />