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<br /> <br /> <br />2660 Civic Center Drive <br />Roseville. Minnesota 55113 Phone: 651-490-2219 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) Permit # <br />Fee: $25.00 <br />pp# <br /> <br />1. <br /> <br /> <br />( <br /> <br /> <br />(Last) <br /> <br />2. <br /> <br />'5 )0 c,.::r cZV\. v..: la~ v-il",..... 't.. (vl..... :C5"- I \ <br />Address of Owner: (No. And Street) (City) (Zip) <br /> <br />(VI) &{l-l.~J"-'f'i1-L. &v)'\i-(.'"{'Z-L<'\1<i (f-I') t,n-G,tr-I1Jo <br />Owner Information: (Phone) (Fax) (E-Mail) <br /> <br />') t h f: IML'1 <br />"be k\~v ,'i-1<.. <br /> <br />3. <br /> <br />4. S t\.~""A.... <br />Applicant (if different ):(Name) (Address) (Phone) <br /> <br />5. 'A 'f 'f- '^ A- I:. (!VV\. (<-(1 (I,. ~ ( tI.\ Lll'<'li'- ~ (t-'1 nJl 6") <br />Street Address of Property Involved: <br /> <br />6. (PIN) Property identification number: ~ ~ - ~ [!l - [?J ~ - 8J 8J - ~ GJ ill ~ <br /> <br />7. <br /> <br />a. Present Designation of Land: ~ <br />b. Present Use of Property; <br /> <br /> <br />c. Zoning of Prope~ r~ '1 <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 Setback Permit: ",> '^' ~ G.-H u,-t._,---.Jl <br /> <br />9. Explain alternatives that have been examined which would enable you to meet existing <br />Code requirements: ).C c (,~ i~ ,;:,..-A~c' <br /> <br />1 <br />