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<br /> <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 /> <br />D RESIDENTIAL PROPERTY OWNER 4~-- $25 ~ <br />(All fees payable upon submittal of complete~~nj- <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 />(Last) (Phone) <br />&:5/ b3? b:Jr/CY <br />/1 <br />City) (State) (Zip) <br /> <br />'tJsel/7/k Nd S:57/3 <br />(Last) (Phone) <br /> <br />Name of Owner: <br /> <br />cIt. / .ti- <br />t{ Dl't I PI. <br /> <br />(First) <br /> <br /> <br />Cc <br /> <br />2. <br /> <br />Address of Owner: (No. And Street) <br /> <br />IfY,! 5;j~ er- /tv ~ <br /> <br />Name of Applicant: (First) (Middl <br /> <br />3. <br /> <br /> <br />4. <br /> <br />Same <br />Address of Applicant: (No. And Street) (City) (State) <br /> <br />1'l3r Sary~ Av tt/ ~feu//e <br />Street Address of Property Involved: <br /> <br />(Zip) <br /> <br />5. <br /> <br />6. <br /> <br /> <br />I- CUt?:r I) /Lf tf;?y- /-Ij (; ff->/t~ S'er6ac;(: Cl.fl <br />{N tL j" SeliA J · <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />(JOt;:; ea r tA/ot/ Ictn 'Y htJ4/e c.<.,J d v ~:ed I" /l /Yl <br /> <br /> <br /> <br />f"d ~e ~ LtJ/2,zeer/o /leJ' f-. o~. hov.s e ct7'- E:;.y87.fc <br />() f- aVUtfVl'>r /f/ltfve Well jf .. <br />~le ~o /0 {/?{~7'7lt.~ a <br /> <br />"l _ <br />-tJ v Ij Cel IJ 1/ r:.. /Ie <br /> <br /> <br /> <br /> <br /> <br />Page 1 of3 <br />