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<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 - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />Name of Owner: (First) (Middle) <br /> <br />Aicho,rd &OlcA) f ~ <br />Address of Owner: (No. And Street) (City) <br />/ qq:<, ~'Verc1/eet/J COL-{Y'.t <br />v <br />Name of Applicant: (First) (Middle) <br /> <br />(Last) <br /> <br />:in /'fA <br />(State) (~ip) <br />KOJfIJJ/k mAJ ss-113 <br />(Last) (Phone) <br /> <br />(Phone) <br /> <br />uS), (P3\{ CJ7 II <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />r5/1/l1 ~ <br />Address of Applicant: (No. And Street) <br /> <br />$i~L <br /> <br />5. Street Address of Property Involved: <br /> <br />(City) <br /> <br />(State) <br /> <br />(~ip ) <br /> <br />J).~~L <br /> <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: build cleek and screen pOrch ol1+Ae 6~G~ <br /> <br />{ <br /> <br />(NE) (orner 0.1 -f/1e nOUS-L.. <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br /> <br />Ai 0 qlk rf1C11/'v e ex:i's1r: <br /> <br />Page 1 of 3 <br />