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<br /> <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 Intel11et: www.ci.roseville.mn.us). <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.05) <br /> <br />Jt6 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 />~ n-~O <br />(State) <br /> <br />(Phone) <br /> <br />(p S ( ~'i~L( - L S 'i '1 (.~t) <br />(Zip) <br /> <br />SSII~ <br />(Phone) <br /> <br />2. <br /> <br />" <br />erY)\t. ~ LA.../01'L. <br />Address of Owner: (No. And Street) (City) <br /> <br />3. <br /> <br />L '\ l W J! :>+ <br />Name of Applicant: <br /> <br />G-V4N'O\l1 bIN Ay~ <br />, <br />(First) (Middle) <br /> <br />(2.~~V"l\lo I f'\ N <br />(Last) <br /> <br />4. <br /> <br />-~ $"'4/""'--t. - <br />Address of Applicant: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />- 5~/)\.c- - <br /> <br />5. Street Address of Property Involved: <br /> <br />"Z-'il w-t)t G-"'~Y\OVteVJ Y-iV-~1 R-fd)e\O\\!>/ M1"I5-S]13 <br /> <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />perm;' <br />~' l\ "t.,:' ~h4!..d... <br /> <br /> <br /> <br /> <br />--' <br /> <br /> <br />~ <br /> <br />7. <br /> <br />Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />N~l'\~, <br /> <br />r\l\~\,J~ l'\ J <br /> <br />i "- se C <J ",-<,-\ <br /> <br />flo~- S-i-"l;rj <br /> <br />\':-.l. ~-' \ 0. VJ ..g b ,,\-, <br /> <br />14-. \ Q;~ <br /> <br />.;S+- <br /> <br />$' pit,- <L <br /> <br />\~ A-~ h\S1.i3~( <br /> <br />Page 1 of 3 <br />