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11. <br />12. <br />b. Listing of narnes and ac�dre�ses €or eaeh eo�tiguous property o�vr�er. <br />c. P�apos�c-�pl�r� {2 co-p�s} 'rr�E�txd-t�rg�i�e plaxi, 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 />r;� <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� Pla�x-�e�. <br />It is not necessary, but helpiul, far 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 />bas:��ss da��s. <br />Signature: The above <br />Applicant <br />Property Owner Sig <br />Date: � � 1 �t I Co <br />E-mail Address: <br />are true and <br />Phone �: (S1-?=C�a- <br />best of my knowledge. <br />Fax #: <br />; `� ; +r� : <br />� -. , � . . �_ `� � r' �-_, �-, , - ., <br />.. :=,, y <br />+ � �����' <br />`4,� �.� � :� j--. � <br />�t it� �r.Y��1'(1P.�-- - <br />0 <br />._:�'oCo� C���L <br />�� ����� � � � -� � �' <br />�.�- �_� <br />Revised December 9, 2005 <br />\\metro-ine[.us\Roseville\CommDev\PLANNING_AND_ZONING�Application Fornis\Setback Permit Application\Setback Permit Application(2006).doc <br />Page 3 of 3 <br />