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� Listing of names and addresses for each contiguous property owner. <br />� 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 />,�, <br />d. � <br />e. <br />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 />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 Director 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 />i �� <br />Applicant Signature: _ � -�._o.<< � <br />� . <br />Property Owner Signature: I C � � " . Z' �S --� _ �-�_ <br />Date: ;3 l� ( ( � �� Phone #: ��� $-/ - y,��-vzj�4� Fax #: -- <br />E-mail Address: <br />z=�u� —►-��Z�,c <br />t.N�� <br />Revised December 9, 2005 <br />\\metro-inet.us\Roseville\CommDev\PLANNING_AND_ZONING\Application Fomis\Setback Permit Application\Setback Perniit Application(2006).doc <br />Page 3 of 3 <br />