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<br /> <br />(651) 490-2279 <br />Code is available on the <br /> <br /> <br />SETBACK PERMIT APPLICATION <br />(CITY CODE SECTION <br /> <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 />13 t'i-?'Z 0/11 1'7- <br />(State) <br /> <br />(Phone) <br /> <br />C; 5/ - /; :.2-8--0.:4,0 <br />(Zip) <br /> <br />2. <br /> <br /><;;lA-C~ P'3-'-{ <br />Address of Owner: <br /> <br />P/r(lO<< <br />(No. And Street) (City) <br /> <br />3. <br /> <br />I 1, s--S- 'Sf71-,.v,g It. i D G--tS A-uG <br />Name of Applicant: (First) (Middle) <br /> <br />/2D S {!?t,1 ILL E: M JJ, s-s/ 13 <br />(Last) (Phone) <br /> <br />4. <br /> <br />-J ILly.( Otl'V{fJ So 0 /u g U I l.-I~ i A..J (1- <br />Address of Applicant: (No. And Street) (City) <br /> <br />(~ ~~A.fc{) '::'~l yv C- . <br />(State) (Zip) <br /> <br />6. <br /> <br />'::2--':2- SD i.li e-cu Ft i rr ~ r: !V~ <br />Street Address of Property Involved: <br /> <br />I ~ s-s: ~~'-> 0?,'L t 0 G-'F kr;: <br />State exactly what is intended to be done on or with the property that requires the setback <br />permit: <br /> <br />f(osG-u, L-L& <br /> <br />!"VI "-{ <br /> <br />S.'~-I / ~ <br /> <br />5. <br /> <br /> <br />OUT <br /> <br /> <br />r13c.<4D 120(.7 ~j') ^,l,4-S7ZS1 I~/-( <br /> <br />i-/r:r- <br /> <br />]0 LV,'T72 t> <br /> <br />5 rz..~vt: <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />N v 17-C rGJ iT-Tl Vi? S; fr7'l.--F tl1-V A-f t..--;:::y];. t.A:=- TZJ ~'p~"VD <br /> <br />06 <br /> <br />MJ/1"5~ f5-gp/lOOA <br /> <br /> <br />PGr'Z /J t.-''1-c t7 .VI vV r <br /> <br />() r i-I t) i.;/5:,G (..."il\) /)/1. D ?tY2ry . <br /> <br />Page 1 of3 <br />