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<br /> <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490-2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />;0Ci-lJHZD EV&E/IIf;; ~~(j>UCX: ~~/-4~r?d-OS>f? <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />8/ ;)... it) 1/ eLL~ /Iv,E", ~;;.e:VI) / e~ ;If fi/ / ;] <br />3. Name of Applicant: (First) (Middle) (Last) (Phone) <br /> <br />;1IC}/4-/Z0 el/t:.EA/ \!;r:C(j)UEc' " <br />4. Address of Applicant: (No. And Street) (City) (State) (Zip) <br /> <br />cfl;:L i~)l/c:LL ~~ AtEVI /I~" .4I,A/ <br />5. Street Address of Property Involved: <br /> <br />cf4j;;L Lo l/ E-"!,L 4~) E: <br />6. State exactly what is intended to be done on or with the property that requires the setback <br /> <br /> <br /> <br /> <br />?~/~I /:::; <br /> <br />.4-' 7/~Clre.b . <br /> <br />7. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br /> <br />AI tJA/ E <br /> <br />~V4; LA-d i...e <br /> <br />Page 1 of 3 <br />