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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 />o 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 />Name of Owner: (First) (Middle) (Last) (Phone) <br />'ba.v ~ c\ ~\e.V le 5:( . 'i<61-. ~ 1-s5 <br />Address of Owner: o. And Street) ( City ) (State) (Zip) <br />J '+ -=\-S- L\N J~ ~V~ J ~lI~v:ll~ K~ S:-S:-l l3 <br />Name of Applicant: (First) (Middle) (Last) (Phone) <br />_H l\b 1- COr's tV'I.A.c-t-\ ON J LL C /6 <<L.A '-e- H (}s, t <.0 lJ...2.C,O.1 0 () <br />Address of Applicant: (No. And Street) ( City ) / (State) (Zip) <br />i-l~v\ ~ k j~ Lc,.J~ tt.A d , 0 ,..J I Wr. c::.;;:y 0 l ~ <br />Street Address of Property Invo ved: <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />I"T-i-s- <br /> <br />L\,..,rd <br /> <br />voL. 6r~ . o~\J~(lz <br />to be done on or with the property that requires the setback <br /> <br /> <br />6. <br /> <br />State exactly what is intende <br />permit: 'A d d; ~: () rJ <br /> <br />~ ~c..Y""c..:rL- <br /> <br />\r J:L~ tJ\, \ 'I/' 12...... ~ <br /> <br />Co.. .....r a. y- ~ a.,..J LD . <br />------ <br /> <br />"',.., cJ.. j '" y- '" ~ -'- 1 0 ~ <br /> <br />w ~\ '- h <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: /1 / <br />(j) C14r"'-~L C-JI dDv...~~ k~K , L.......+- AJ~f <br />/) re. c- 1.'(.41 ~ t4-Jdi I-t'o~ I ~ ('rI'}~ (j c.. re.:r~ 6.-J <br />o ~ <N ~ 0 P- ~ t!) CA.S <- (s;. l!I ...... +L. ), L.v 0 tA I cl.. ~ ~ ~ <br />/ <br /> <br /> <br />h t> u..t.R- I () a k t L- c... d <-1.1" !..ex. J '7 ad J a...j eX-- + ~ <br />d lr; U'L wc..(J' <br /> <br />Page 1 of3 <br />