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 />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: <br /> <br />(First) <br /> <br />(Middle) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />2. <br /> <br />>>//) E <br />Address of Owner: <br /> <br />-:To fr]).J <br />(No. And Street) <br /> <br />(City ) <br /> <br />srrr Uil3 <br />(State) <br /> <br />~{/ 633 133~/ <br />(Zip) <br /> <br />3. <br /> <br />/;), 7 t:;W <br />Name of Applicant: <br /> <br />n {/ /?J<]?: R0513 f/ )LI- ~ (7?;vI <br />(First) (Middle) (Last) <br /> <br />5:~/ /.3 <br />(Phone) <br /> <br />4. <br /> <br />hI J::,P: :Je>f}W 51!~ f.) 8 <br />, <br />Address of Applicant: (No. And Street) (City) <br /> <br />(~/ <br />(State) <br /> <br />'5] /3 J9 <br />(Zip) <br />~'5'J / S <br /> <br />5. <br /> <br />/2J f 1>> /9, () 1<.)<, rt' R. D5Frr ) Ll.. ~ rv> IV <br />Street Address of Property Involved: <br /> <br />J d '/ 5' fA) lJ u lU< ~ R 0'58'11)1.. hJ? rn V 5 S ) ).3 <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br /> <br />Page 1 of3 <br />