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<br /> <br /> <br /> <br />(651) 490-2279 FAX: <br />Code is available on Internet: <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION 1013.(5) <br /> <br />RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal or 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 /> <br /> <br />3. (Middle) <br /> <br />4. Address of Applicant: (No. And Street) <br /> <br /> <br />5. Street Address of Property Involved: <br /> <br /> <br />6. State exactly what is intended to be done on or with the property that requires <br />permit: <br /> <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br /> <br /> <br /> <br />Ml\l II <br />651.636.3366 <br /> <br />3 <br />