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<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 />C .4/<.6 G Je-AN J.1 () ~ f)~S/<-/ <br />Address of Owner: (No. And Street) (City) <br /> <br />~S/ ~Y3. 0.3/:7 <br />(State) (Zip) <br /> <br />3. <br /> <br />,LJ&mLJ ~ a.661/..fU <br />Name of Applicant: (First) (Middle) <br /> <br />22"7/ lJ6'G&<J'a.:>..j) ,Al/" /4i~'vL~ <br />Address of Applicant: (No. And Street) (City) <br /> <br />(Last) <br /> <br />(Phone) <br /> <br />4. <br /> <br />/h;J <br />(State) <br /> <br />0'5//1 <br />(Zip)f <br /> <br />s ~ CJ<J a,J; Q VQ./ <br />5. Street Address of Property Involved: <br /> <br />22 y / j) C/"';WlJ /).1) AI.I<" <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br />~"1'11 ~ IP~~ f; ~f~112uJ 2 CaH ciRj-~~/ <br />L" ' . 1/ <br />rd-J.fL . c)<(SI/~<I c1rr\Puvay hfUJ / (,~~ SL//;a.ck t'll ~ <br /> <br />~1'7 ~ ~ -li'a "-'9.../ 61,; PYttJ./:,,:zy ~. ._ <br />Jf <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />reCJ):!;..ire.ments: <br />LW-~ rw~ &-u/./ ~ ~c.b7.d ~k.- r-''r;}.Lif s-' ~ N <br /> <br />t"ry tk hid ,~ I"... a/I4.(/'~ c/,.f~yr.wt-I{f'd " <br /> <br />.J -Z1 C)..l~ ib- r/,,'; f4A'1.. ~ rr /h-<~'; &... ,.fd IJ t:l. c.L f/S}'1\ .; k, 5 f~ <br /> <br />"""- (J, ~ ,4 A~ '> vf"(I c;~ ~ fr. 1/)Ul/J~ //;, III -Ill YjI) ~ ~ <br />TA.i.r ~ .f~ ~ s:{ I~V"~ Si/;~~ ff"r-- 1k./,7<<~6/ <br />~ ,14 ~, fl/lpage 1 of: r~ .6v:/,f .fA..e..rr' <br /> <br />(ho;...(.. ;Df-b/.:r ;-e 3. ~~ S r/u. c/ J ~ a./ y", ~ I<.. <br />