Laserfiche WebLink
<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 />RS RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please complete the application by typing or printing in ink. If the spaces provided are insufficient, use <br />additional sheets, keying information to the proper item numbers: <br /> <br />1. Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />t?~ U v -$ ?{1..u.....>( Vll\2"::;TE(.2-tlAt::.Y~ bS( ~'cfC(. -3::>~"='::: <br />2. Address of Owner: (No. And Street) (City) (State) (Zip) <br /> <br />3. <br /> <br />l:2-4c:> W ~=NT <br />Name of Applicant: (First) <br /> <br />f!.z:;JS;.E'v' ( LeE: <br />(Middle) <br /> <br />!v"N <br />(Last) <br /> <br />~s (('3 <br />(Phone) <br /> <br />4. <br /> <br />A v c:, 5/V..J..-y <br />Address of Applicant: (No. And Street) <br /> <br />LVl2-"'.?(\2(.2't(,{E::,'{e.t2- ~(~b4 '_"~~;>6~ <br />(City) (State) (Zip) <br /> <br />5. <br /> <br />l '2-Zt-o LV t?E3- Ms:>"'->T I2v SE-V ( CC~ r<.A ;..J <br />Street Address of Property Involved: <br /> <br />S5"(('3 <br /> <br />(~6? W B~LIU..O,N-r l~:P <:~V( CC~ MfJ -s: ( t ~ <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br />Bu( '--0 AN ~C~~ ~N(,RA)\Jc:e '({.\A'( E..'x.(-E;r-Ds <br /> <br />( <br />~ c;>u-C PkM '0~ ~u,......OA-("\C't-.J 'c..= MA~ Acc:ess ~ <br /> <br />6:4.~ ~~:>\~ G?- A1...ve.e ("tJ; fN-J .:P~ C':S f!E;(25=tJ. <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />((--\~E;.. (7 1'-..30 6'(\~ 'v'I../V3cG3. Ac..r~}0A--r('-.J~, <br /> <br />e:tc..L:~/I....J+:::\..&UL'~ ((~ LNS(~ c::::F C({B~J~ <br />UVr;:vLO €::e: ~c;> ~;r.'.>"\ L-, A)'--O ()..J~ CO E:A--:t" uP <br /> <br />7~ ^,l0c::.-~ SP/-+C-E: . <br /> <br />Page 1 of 3 <br />