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<br /> <br />PHONE: (651) 490-2279 <br />(City Code is available on the Internet: www.cLroseville.mn.us). <br /> <br /> <br />SETBACK PERMIT <br />(CITY CODE SECTION 1013.(5) <br /> <br /> <br />o RESIDENTIAL PROPERTY OWNER FEE - $25 <br />(All fees payable upon submittal of completed application) <br /> <br />Please compIete 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) (Phone) <br /> Th IV Gve.rt- t.$1) 6:>'-17- 'JL/8S hQiff-e <br />2. (No. And Street) (City) (State) (Zip) <br /> 17'-1 51~;)?e/qtVfl Av. W R'C!5>€v: /I-e /~f 55//5 <br />3. Name of Applicant: (First) (Middle) (Last) (Phone) <br /> nl)n~ Covert (~sj) .3 '1 g- ~/27 ref 1 <br />4. pplicant: (No. And Street) (City) (State) (Zip) <br /> I7LJ) Fo'?e/ CfWh tit W. Ro~~/lf J1N 55// 3> <br />5. Street Address of Property Involved: <br /> <br /> <br /> <br />J 7'1 S- 7?o5e/ct'A/l1 Ave. <br />6. State exactly what is intended to be done on or with the property that requires the setback <br />permit: - I I ~ . I bl ["j L...L ~ <br />L )cPU.14/f CH1fL1' q,-,€- o/c1 q(,,, 10D drivewClY w;tn crntc..r..e.Jf, CYjX#1c1 <br />I r I ~ <br />10 -fh..e. eq,-J- w;fh/n 2 -F~t 0{ proi:>ertv /:yt{). <br />I r I <br /> <br />7. Explain alternatives that have been examined which would enable you to meet existing Code <br />requirements: <br />li I1d ~ fltf! We'7 t- <br /> <br />laecOtU~ 01 Th-t? ~o",s-e. <br /> <br />Page 1 of 3 <br />