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! <br />b. Listing of names and addresses for each contiguous property owner. <br />c. Proposed plan (2 copies) including site plan, landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be 8 1/2 x 11. <br />d. Narrative: Attach an explanation of why this permit is needed, the resulting <br />impact on the neighborhood, and responses to items 9,10, and 11. <br />e. Other documents as requested by the City Planner. <br />11. It is not necessary, but helpful, for the applicant to attend the Development Review Committee <br />meeting to clarify issues. <br />Note: The Development Directar will make a decision and notify the applicant within seven (7) <br />business days. <br />12. Signature: The above statements are true and correct to the best of my knowledge. <br />Applicant Signature: <br />,. , � . <br />� , ; ,� <br />Property Owner Signatur�: � � �" G� �� �� <br />r ��- — <br />Date: �/ �� Phone #: �/Z - 7f' /-� /� � �' Fax #: <br />E-mail Address: /1 O( Gr b( C( �/� (�( a 1� Gl Gt%l l S+ C� � <br />��V� w � �� � � � !� -� b�; � � � � � ,��, y� 2 � � ; �, � .� -� � � <br />� �(c � G�i � < <-. � <br />� x ; s .-�, � . -( G�-; f (,� � u � � <br />� <br />� � , c�.� p /� ��1'[� � <br />� .� � 2 % � f� � � � �,� ��� i <br />� �� <br />� � � ��� � ���c � s.�1 � �f���� <br />��- � f. � � <br />�p� J� <br />�� � s�-� v� -�i � I � r �l � � ^ �� f'�-� ,,:-,'� � r � �� <br />-� � <br />� �� � ,� � � �� f � � S} � � v ''� v� <br />l�, � � �.�> > <br />/ I �e <br />� � � C.Q S �. D � �, SSo � � ,1e Gv v v�- �` � <br />�.,,�, � � / <br />� `� ; =� c � � ,� C� �. � y.o� � c (pvh � � c�'r-� ; � � � <br />s-y � <br />^ C-0 �.. � �'b ^ 1 � <br />� � ��v.�� �C C,/�✓ /s^l �jr � y — l�Lr f-� ���. <br />U � <br />Revised December 9, 2005 <br />\\metro-inet.us\Roseville\CommDev\PLANNING_AND_ZONING\Application Forms\Setback Permit Application\Setback Pennit Application(2006).doc <br />Page 3 of 3 <br />