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11. <br />12. <br />b. List-i�-g of nar�es �nd �resses fo� e�el�-earrt3guous p�opertya�r�er. , �.. ; <br />c. P-�apo-s�� p�an (� copi�s} ine��tding site pla�, 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 />, :, .: ': �_.. <br />..... " ,. .s , S- L � . � � --� <br />� <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-���t��.,�-���xie�. <br />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 />Signature: The above statements are true and correct to the best of my knowledge. <br />Applicant Signature: -, _ ) �; c �, �, �-' �i �' � � ��- t'��=-L <br />Property Owner Signature: ,/ ) 6���,�� � lz� ���. ��. �/� �Z <br />%" / c� <br />Date: 3�i2 2 i' � G Phone #: � S^i �; J' �f 7`J /�'ag #: <br />E-mail Address: <br />_ �:' ,- , . , _ : <br />� ��. �:, � � -�- �� � ;;.. s �.�'_ <br />. . �''- r ' <br />-..-� ��,:'_. � .. <br />{ ;���;��r.; )� �. � � � � <br />_ -{ �'y� �(l fikl i� �V <br />6 �) <br />_ -:(oCo O C�i � � �- <br />'���,v�1��° f�tN <br />(�,Y�l �C11 �"�� V�� <br />�!� <br />Revised December 9, 2005 <br />\�netro-inet.usU2oseville\CommDev\PLr�NNING_AND_ZONING\Application Forms\Setback Pemiit Application\Setback Pem�it Application(2006).doc <br />Page 3 of 3 <br />