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 />R) 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. Name of Owner: (First) (Middle) (Last) <br /> '" <br />2. (No. And Street) (City) (State) <br /> ;) ~O ~ /V JI 7? (, 1) /j X05E VIL 1-'; /YJ/V <br />3. Name of Applicant: (First) '(Middle) (Last) <br /> ~)hnJC: <br />4. Address of Applicant: (No. And Street) (City) (State) <br />5. ~A/\/7~ <br />Street Ad ress of Property Involved: <br /> <br />(Phone) <br /> <br /> <br /> <br />/.p5J <br />(Zip) <br />55/)3 <br />(Phone) <br /> <br /> <br />r3 <br /> <br />(Zip) <br /> <br />;2 '&6;J JYJ 11 "IlL /) A SI 'k(DS E V J iL.-lc M Iv /;5/ J3 <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permin iJ-r.,1 _} () iJJ JJ <br />~ ~ ~~ .~ /(1~ 4~Jlo 7f. ~l4O- ~ <br /> <br />a;:TPnt 5' 11" ~ 1--4>1 ~t1e.~a <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br /> <br />Page 1 of 3 <br />