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<br />..J <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 />~ <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br /> <br />RESIDENTIAL PROPERTY OWNER FEE ... $25 <br />(All fees payable upon submittal of completedappliclI'do'l1) <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: <br /> <br />(First) <br /> <br />(i\ifiddle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2. <br /> <br />r &.-J bs- <br />Address o.fOwner: (No. And Stre (City) (State) (Zip) <br />/1-1- b D krJ /4po ~T.:_~ ~ Ro~ V /I~ ( ftr-/ S:S-I/] <br />Name of Applicant: (First) (Middle) (Last) (phone) <br /> <br />/-1DST COr.JS:+V't.-1C--h'(J".j 1 L L c.... ~/J. I :J- ;0. lOG, 0 <br />Address of Applicant: (No. And Street) (City) (State) (Zip) <br /> <br />s!L~ddreS :;';;;,;,~nVOIV':: /~.V R..J; ~dso"'. L.; T 9-{OIJ. <br /> <br /> <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br /> <br />~Okv,/ Ml/3 <br />ed to be done on or with the property that requires the setback <br /> <br />a I '" e "''K <br />e lC.~...+lnj ,LAN -"^-~ S~'t)\.J. J r.. "C""d9- ~ '4.pc;.......r&. ~ \"'\'<;';NO <br /> <br />~c...AJ- G.-t pr:",+. ~)<.:!.+~"j ~~~l1 ~,-,--~-f.t'''''''/ t's. S' <br /> <br />(;f),,- Nc)(+h r>o~k-~ L:--llt. 1\\50" I\.IQW ~JJd/'o--.l wl.\1 <br />1-'\.01)(. ~(- u(,.rJ. ~ \..J.U {:'I'"ll..n- ll-t t2.~~f.\N::>. h.o"'')12.. <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />~ -ol~.e~~...!i-lCr ( <br /> <br />.(:" b \- - ~ (" ~ r-'+ ~ il+ c...-I <br /> <br />\","O~""'~'C4 \ <br /> <br />7. <br /> <br />(OV.t.'("c..~ \' So LA.-l. <br /> <br /> <br />+e> PI. <..t.\:)..........-.. 0\..<- to(.. <br /> <br />~ \.JD'('"l.l'''''-lf) -e.)C.~ S;+l-::J <br />o 'f> ~ " -I \.0..... u.............sL 0 t- <br />No-\- e.NOU.~l. e-;,t,~si-;:"'d <br />~,,v-c....o u ...1~ \'"1 ~C\ ~ <br /> <br />~f'''''' UL. <br /> <br />b.~QN&\\ .-.I~ <br />. <br /> <br />... ~ 1A.c......c.. ~ #t--<>-~~ <br /> <br />Page 1 of 3 <br />