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11. <br />12. <br />b. �:ts�_i�g o€�arnes and ack�re�ses €ar-eaeh eorrti-g�-x�rzs praper-�� o-�r�er. �- �;' _.: <br />c. .P�apos�d-pl�r�-(2-eopt�s-}-tr�el-t�dir�g-s-i�� �.la�, 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 />� €_ . <br />� <br />� <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 1 l. <br />Other documents as requested by the��t3� P-���. <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 />vuJiii�SS uF.ij'J. <br />Signature: The above statements are <br />Applicant Signature: <br />to the best of my knowledge. <br />Property Owner Signature: ����jC/�� �F��s'p�1�YQ �, c����u-%� �P ►-- <br />� <br />Date: � �c� (ylo Phone #: � � � y�' U 7��a Fag #: ��` <br />E-mail Address: �a � �� �P �i � �- �f� % /� � � � �� <br />,, , ..�..r . <br />� " fi`�e; � wt � ��_ -� =. ; , -- f <br />_����� <br />` � � ���, , , - <br />���� � <br />� .a it� £��i � P.E- . <br />U <br />_�.(n(o O �.-i � ` �-- <br />�� ��.e,,v i � �� , � t�.� <br />- . �,� �_ <br />; ; -- <br />Revised December 9, 2005 <br />\�netro-inet.us\Roseviile\CommDev\PLANNING_AND_ZON[NG�,4pplication Forms\Setback Pennit Application\Setback Pemiit Application(2006).doc <br />Page 3 of 3 <br />