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11. <br />b. Lis�i-ng of naine� �r�d a�c�re��es for eacl� contiguous pi-opErty o�ne�. <br />c. ��opo��d -��an (2 cap��s-}tne�t�dt�rg si�� �lan, landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be 8 1/2 x 1 L ':_" " <br />� d <br />C <br />�larrati�•e: 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 C�t�..Pl.ax�e�. <br />It is not necessary, but helpful, for the applicant to attend the Development Review Committee <br />meeting to clarify issues. <br />1'�ote: The Development Director will make a decision and notify the applicant within seven (7) <br />business days. <br />_,r,,� 12. Signature: The above statements are true and correct to the best of my knowledge. <br />-�� <br />Applicant Signature: ��. ,���-ti' <br />�'�Gz�c�i.��` <br />Property Owner Signature: <br />Date: .' — ,�- — Phone #: �S % ��f ���Fax #: <br />E-mail Address: <br />, <br />_. ; � <br />... ., ;_. ,: � <br />, ,: ,.. <br />, � 4 a , � __.. � <br />,, - _ _ , <br />,;�;�:}.:�r`> ±.� , '" , <br />�� �. �,r�o�; �'�. � �- _: <br />�; <br />. ,r � C.� Li � � �--- <br />� �� ��' '` <br />_ �; t � c., __ <br />Revised December 9, 2005 <br />\\metro-inet.us\Rosevi11e1CommDev\PL,aNNING_AND_ZON[NG\Application Fonns\Setback Pemiit Application\Setback Pemiit Application(2006).doc <br />Page 3 of 3 <br />