Laserfiche WebLink
<br /> <br />2660 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 1013.4)5) <br /> <br />HS 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 />2. <br /> <br />3. <br /> <br />Name of Owner: (First) (Middle) (Last) (Phone) <br /> <br />Leo/l1r~LU4'1) {i. ~yd~Pl 6r;-lby:J?/ltPP <br />Address of Owner: (No. A;[d Street) (City) (State) (Zip) <br /> <br />/btf1 >fht/;h~e~/ ~~;1V S'J~/1S <br />Name of Applicant: (First) / (Middle) (Last) (Phone) <br /> <br />4. <br /> <br />~ <br />Address of Applicant: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />s--?~~ <br />Street Address of Property Involved: <br /> <br />6. <br /> <br />~~ <br />State exactly what is intended to be done on or with the property that requires the setback <br />permit: d'd d 1. 1 ,.,. I n..L.' j -" <br />fA::, 7 Y., X 3~ ce~"-.l~ TO MJ'Tllltl <br /> <br />,. v <br /> <br />1~'1 S-r-' Jr,v<-W~ fh.< ~,<;;-I')e, ('..O/1a~ a.Jp~- <br /> <br /><;;1..ck dc;e. - Iv-{. t eJ ~' ,~ ~ <br /> <br />tW IJpJe dy J '., dr~ V7-- ~i-) ~V .. <br />Ex ain alfei71atives that have been 'hamined ich would enable you to meet existing Code <br />requirements: " . . <br />G'V.J~ ~u,M ~k ~dVJv~-~tjeJ <br />, <br /> <br />~tl~ "I- Nt 7t1rvrk J Vl f;W~ IfAth 1111' <br />11 e- t Wl1~" I. <br />Jd ~ <br />( Yv 1 ~ ~1/?II'ti? <br />Q P~lof3 <br /> <br /> <br />7. <br /> <br /> <br />