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11. <br />12. <br />b. L�sting o-f �res-� acl�ressesfor eael�earr�i-gtrous pro�e�ty o�r�er. � <br />c. �?-�apas�d pl�rrl�vpfes-}tr��t�dtrrg site pla�z, landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be 8 1/2 x 11. !� ��' .""�? c��,'�, ��,�:s=_— <br />� <br />ra� <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-�i�t-�. P�a�. <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 davs. <br />Signature: The above statements are true and correct to the best of my knowledge. <br />, <br />; , , ;� <br />Applicant Signature: -��t ��L 4�, z-�, ✓, `�'� r'E' �., v <br />� .� � . ; <br />Property Owner Signature: ';,�,��_.� �t_,��•_ ,�'� ;� ��-1 v <br />Date: . J' - /�'-�1 � Phone #: ��S% . y��/ -:�ULC' Faz #: <br />E-mail Address: <br />, �\ Y� - *--�-, - <br />y_," F�:'' ��� �ti�� N��� L.� �.t' 1 Ol �JY 1 j�-= . <br />'',���1� �LC�+(Yl <br />: .� � �r,o�; �ne,e� <br />r ';(oC� O C�i � � L <br />� ' Qs-e.v � \ �-e , M, t� <br />C.�r� �-C� ��� v-e� <br />';� � � I�3 <br />Revised December 9, 2005 <br />\\metro-inet.us\Roseville\CommDev\PLANNING_AND_ZON[NG\Application Forms\Setback Permit Application\Setback Pem�it Application(2006).doc <br />Page 3 of 3 <br />