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. � ^ ] 0. The followirag informatiort/materials must be submitted by the applicant (arrd determined complete by the Comnaunity Development Department) ten (10) days before the application may be considered by the Development Revie�� Corr7mittee: a. Application and fee of $75. fb. Listing of names and addresses for each contiguous property owner. � c. Proposed plans, including site plan, landscape plan, grading/drainage plan and exterior building elevation drawings showing buildings. Such drawings shall be 8 1/2 x 1 l. d. Narrative: Attach an explanation of what is proposed and why this permit is needed. e. Other documents as requested by the City Planner. l 1. It is rrot necessary, but it is helpful, for the applicant to attend the Development Revie�v Contmiltee meeting to clarify issues. � Note: The Director of Community Development will make a decision and notify the applicant within seven (7) business days. 12. Signature: The above statements are true and correct to the best of my knowledge. '/ � ( / Applicant:� ,�(/ ��`i� ��i/�r�.- Y l, Property Owner:��("�/,'.��'� �C ��/��' ��«�"• � �r !'�'�� .f— Date: - "/ � '" �' Fax Number: . � _ Phone Number(s): �f S � ' �� ' �S �� /� ��" �%� %� .5�' 1 � S �' �/�� •,�� %� E-mail Address: � �' /'� � 1 s �//7� �� /f 1l� 1 / ' ��' r�� ) Rcvised Januar}� 30, 20U7 \\metro-inet.us\Roseville\CommDevAPLANN[NG_AND ZONING\Application Forms\Setback Permil ApplicationASetback Permit Application(2006).doc ` y- ; r/; /, /// �G C �v �, "/ ��• %' l \�-'`� � {�l' i'"� �� L r -� � • / �'�l_ �'� i�! � 3 G �i- � J �C.C.r � t� , �� ;, ; ��t l �� ►�1-, c�o � � f� � ;' 1 �i�' Gl.�-F C� i.�� 1 ( t�``j}1 � � �� `-�,� L� j� ; �� l �F"" S%" t l I�C�P �'L� ��'Y� . S z , _. � _ , .- � � ��,�_ �� f�t � �� Ir� � s � r��;� �� :� � ��,'� Y', �.' ?/G -� c .J � ,-r��f .�, -/� ! � 1 : ��_� �"�= f,l� ��.Si,J % � � ��; �� /'�P�/i��,� C< < 1- �etback Pexmit .�pplication Yage 3 of 3