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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 />D 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 />(Phone) <br /> <br />3. <br /> <br />Name of Owner: (First) (Middle) (Last) <br /> <br />Joseph P'1+tr~CIc Glea~'blll <br />Address of Owner: (No. And Street) (City) (State) <br /> <br />7 if 4- 11 el'Vle( DR \(OS'e:' V tile Mv, <br />Name of Applicant: (First) (Middle) (Last) <br /> <br />j 0 S e p h P C\ + r (' C k G l ea s 0 V\ <br />Address of Applicant: (No. And Street) (City) (State) <br />'7 ift.f /1 e i V\ e I D \r. R 0 S' e V i II e (\A \It <br />5. Street Address of Property Involved: <br /> <br />h 5" J - 7 b 5- if b4 4 <br />(Zip) <br />55 J 13 <br />(Phone) <br />b 5 )-7(,5-4(,41./ <br />(Zip) <br />'5S113 <br /> <br />2. <br /> <br />4. <br /> <br />744 <br /> <br />HefVlel Or. <br /> <br />~o S e v i II e (lI1 Vl, 5'5113 <br /> <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />~~~I <br />~)(t-e...-..c~ e)('IS+IV1.J chr\ljevvt\Y 't~ t~e 5'lJ $<'cte <br />of ,t"e.- ~()\4$'e..., Dt",\;e WAY uDqlJ loe 9i'3{( Widt::./ <br />.-t\..~"" ~~vlICJe '1-0 IPtih.^ .a feer ef p.rDfe\ft-Y ltVle, <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: N <br />OV\~ <br /> <br />Page 1 of 3 <br />