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11. <br />12. <br />b. Li�t-�ng of i3a�r�es��d-��resses �or �el��e�'rg�terx�proper�3�-o-vvner. , e:,: <br />c. .�r-e��-��a� �� e-optes-}-t�i�g-s�t�-}��, 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 />� <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-�ty P���.�-�e�. <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 />busi�iess days. <br />Signature: The above statements are true and correct to the best of my knowledge. <br />Applicant Signature: <br />Property Owner Signatu��e: <br />Date: ,��- �-� �� (: Phone #: (,�► 3 �-� 7� �f Fax #: <br />E-mail Address: �� c� hQ ►`h irv �.i � C��r►►�c� s�f' n� t <br />� � �j . <br />� er�v►,� �lrc�s4�r� -f� Civci�� c'cs�s��l4►'�sd,�p c� fiei;�si'r�lcfrn ����`ir� e��s�'"`J <br />C� �' � V�' uU�..� -�n Cc (f��r�'h �iv 5t f�u- k� S�-�C �ydS � S t� t r't! i�t �' � (� c�_ <br />1!i1 t�latz� � C w� �Q r� d �v� „,�" t-c��t't; f� <br />� <br />� � t � : 'si, 1 ,-i- � '. � ��.� 1� ��. 1 ��� ,_, . 1 , F �1 �,-J i ' + `' ' <br />-;_.�� i/���1 � ��;.h.f _' �._��•..! <br />_ �i � �1n�1 � �.P/`1� <br />,�rt "�(oCo � Li � ` �- <br />�� QS�e�v � � �.� , � tJ <br />�� i� � ��� �� <br />���► !3 <br />Revised December 9, 2005 <br />\�metro-inet.usU2oseville\CommDev\PLANNING_AND ZONINGWpplication Forms\Setback Permit Application\Setback Permit Application(2006).doc <br />Page 3 of 3 <br />