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<br />JUL-25-2002 10:49 <br /> <br />RDSEVI LLE-CCW1M-DEV <br /> <br />(612) 676-1718 p.2 <br />6514902931 P.01/03 <br /> <br />Ju 1 25 02 11: 13a <br /> <br />Asphalt Drive.6~Compan~ <br /> <br />-...........',:.. <br /> <br />.:~ ::.'...- <br /> <br /> <br />W.'~~ <br />~MJ~ <br /> <br />2660 CNIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br />PHONE: (651) 490M2279 FAX: (651) 490-2931 <br />(City Code is available on the Internet: www.ci.roseville.mn.us). <br /> <br />SETBACK PERMIT APPLICATION <br />(elIT conE SECTION 1013.(5) <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable "POll !ubmittal of completed appUcat!()n) <br /> <br />-- <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficien.t, use <br />additional sheets, keying infonnation to the proper item nwnbers: <br /> <br />1. <br /> <br />Name o/Owner: <br /> <br />(First) <br />Fm;-1Ct? 50 If <br />Address afOwner: (No. And Street) (City) (State) (Zip) <br />8;}.70 LU.~ ~3fo ~s.u.t7//t; 4lAJ _5"5';/.3 <br />Name of Applicant: (First) (Miaate) (Last) (phone) - <br />Ik~ DrtVewce~ &,' <br />Address of Applicant: (]jo. And Street) (City) (State) (Zip) <br />'3350 tbt/UA~LUZ/~ 6ti- ~Is J//I~ "';';'5'41"1 <br />Street Address of pr:;e~ty[n:~v~d.r --- <br />22.7& tJM-I 3? ~~ 5::5J/3 <br />State exactly what is intended to be done n 01' with the property that requires the setback <br />permit: /J I c: ' :\ \ <br />/!lfJ lUll. t- ~ f 5 TiYl7 Uv ( I./'VJJcut <br /> <br />O/J M 0 <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />4Jerson <br /> <br />(Phone) <br /> <br />wlf.r?3/11S5 <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. Explain alternatiYes that have been examined which would enable you to meet existing Code <br />requirements .. <br /> <br />i/!!N .lIJ NO WPj 1(j, m()~ .j)~l~ <br />/}\Wh, ~ P(ilfJM~ l-iNL l<l/'fAJ C~tf=, <br />Yl1dJC'Y F)(CAVo.-t-~e~ 1; 'f~VIAOv-rJL ~ f!m,,1(~.e feTa''''"1 <br />U Gl\ \ S'~s r:e YV' " <br /> <br />Pa~ 1 of3 <br /> <br />- <br />