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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 />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 I 1. <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 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 />�7_�,,/ 1 <br />Applicant Signature: '�G���-� J�'+L�l�-i� <br />� <br />Property Owner Signature: i� ���� <br />� <br />Date: lo' 21G C�c Phone #: (G� � 4�l i y 2� Fax #: �� �(�� .j�='7p <br />E-mail Address: '( � E.'� ln�'(r��SSe,;.�c� �►a L. �lZ� <br />Revised December 9, 2005 <br />\\metro-inet.us\Roseville\CommDev\PLANNING_AND_ZON[NG\Application Forms\Setback Permit Application\Setback Permit Application(2006).doc <br />Page3of3 <br />