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<br /> <br /> <br /> <br />COMl\1UNITY 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 PERlVlIT APPLICA'I'ION <br />(CITY CODE SECTION 1013.05) <br /> <br />o RESIDENTIAL PROPERTY O"VNER 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 />Name of Owner: (First) (Middle) <br /> <br />__._..m_....__._._:E~ f 1M / <br />Address o.fOwner: (No. And Street) <br /> <br />(Last) <br />G,4rf. 1/; VI <br /> <br />Ge:h4.,e -t <br />(First) <br /> <br />(Ci(y) <br /> <br />f! Dye u) /Ie <br />(Middle) <br /> <br />(State) <br /> <br />(Phone) <br />ro S- I ~ 1..1'87-' 3?f7r <br />(Zip) <br /> <br />2. <br /> <br />3. <br /> <br />1'8 {2. D/i1e <br />Name of Applicant: <br /> <br />___.......LVl/V_..._..._F )!..I 3 <br />(Last) (Phone) <br /> <br />4. <br /> <br />S!fWlR /15. Q6rJ,;e <br />Address of Applicant: (No. And Street) <br /> <br />\ \ I ( <br /> <br />(City) <br /> <br />(State) <br /> <br />(Lip) <br /> <br />5. Street Address of Property Involved: <br /> <br />5 € 1f5; /ff.:Ji) v-e <br />6. State exact~y lvhat is intended to be done on or with the property that requires the setback <br />permit: <br />__m._.4__<;;olLf~eJ deck it/ill he A-JJerJ fv fll/L f;< ('S-f"f/I,g h()rYl~_ <br />J <br />7 ~;5 tv i'jf exl-e",-v/ ot.<.:1....E..t!:.2L'1Ll..!-!.Pi4..g__ 1t:11 ~/ 0 ;/ F 0+ <br /> <br />n<'coe/? -fy""'" L ,'./) e <br />-_..._._.Q..~-_.........m."J '" <br /> <br />(~/l II C:q Ie tt 14- f. /"C)/1 S ) <br />V ~ <br /> <br />7. Explain alternatives that have been examined which vvould enable you to meet existing Code <br />requirements: <br /> <br /> <br />K6"v <br /> <br />Page 10f3 <br /> <br />\ <br />