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<br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 />c!! <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />1. <br /> <br />(phone) <br /> <br />4. <br /> <br />Name of Owner: (First) (Middle) (Last) <br /> <br />La t"r ~ <br />Address of Owner: o. And Street} (City) "State} <br />]oYr2 IV. :Z;~s/;,~~i f)Nve,.;I/~~a..I;Y/)1 <br />Name of Applicant: (First) (Middle) (Last) <br />Lezrr A- /!16V <br />Address of Applicant: (No. And Street) (City) , (State) (Zip) <br />3d'l~ p. IAI\SbNlc.k O~~~JMw~l\al~.ftMI 55"11:2 <br />Street Address of Property Involved: <br />~rfI weJ- ~rsa ~1"J. <br />State exactly what is intended to be done on or with the property that requires the setback <br />permit:CCSl\sflCJdcOl'o 0+ ^~W ,..c.$i~4..(J. ( fhf~t <br /> <br />,he. fhfGJed des~ ~'(:c.eds (e~e.t"l)..el~j) UpGY\ ~ <br /> <br />I\1.CAi~cJ~ ~+~ed= ct.+ .fktL !ja.,.4?, ~+ h:J Sr/(fee,-t. <br /> <br />2. <br /> <br />~S{. ~3J..r? 1.1' <br />(Zip) <br />~II~ <br />(phone) <br /> <br />3. <br /> <br />~S/'~31.9'13 <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br /> <br />f!rilu.."w +.. des ';1" +k ~c. +v I'<. W 1 .u....rt f4 <br />ckc{< a+ 1--t4". w h...1 ~ C~ ~;Ln~j Lv~t/~j set~4cks. <br />1h.J ck~lt jjJ "../ Il\erl OU,. /IuJs fu f'~-tlc.l <br />u ~ 0+ pj\4p~+'I. <br /> <br />Page 10f3 <br />