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b. Listi�g o€rlarnes ar�d ad�resses €or each eorrtigttous property o�v�er. <br />c. P�aposed p�ar� (2 cop��s) ir�e�t�d-tr�gsi��� �lar�, 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�,� ` � ;' � ;���: � , � . .� _., <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 11. <br />e. Other documents as requested by the-��t�x_���.�er. <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. Si�nature: The above statements are true and correct to the best of mv knowled�e. <br />Applicant Signature: <br />Property Owner Sigr <br />Date: /� v� Phone #: �� Cl? 7�L�l,� Faz #: <br />E-mail Address: <br />; -� <br />. <br />-t-� � L � .k�? r,r.,P ►,\ �± `< �� , : � � - . <br />,, �:.�; :� rr _ <br />. <br />���� � ,.t." _,. � l; _ <br />- � h� ���nez��:,. <br />0 ,A <br />� . �: (o C� � Li � ` �- ".�'�' �1 �'� ° ��` �' ���``��.� <br />;,..:? nse.v � \ �� � � tJ <br />'� , � ���,� <br />Revised December 9, 2005 <br />\\metro-inet.us\Roseville\CommDev\PLANNING_AND_ZONING\Application Fonns\Setback Perniit Application\Setback Permit Application(2006).doc <br />Page 3 of 3 <br />