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11. <br />12. <br />b. Lis�i�g-o#�-xai�es �� ���re�ses-€vr-eae��eon�'rg�ttQrzs p�operty o�ar�er. ; . ,. <br />c. �'�apas€�-pl�r� (� eopi-�s-)-rr�E�tt�i-r�g �i��-pla.�., 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 1 l. <br />Other documents as requested by the-��t�y Pla�. <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 />i�USi;?c',SS C�1VS. <br />Signature: The above statements are true and correct to the best of my knowledge. <br />Applicant Signature: <br />Property Owner Signature: !�. 2,.�z / Gi'�'��.�-� <br />Date: � 1�9�'� Phone #: ��S /,� ���5� Cl��`f Faz #: <br />E-mail Address: � S/E;� F�� t�/NS�!� C�'-n <br />_�, <br />. . ' :Y . �f'_ . <br />Y�.. � * _ .,� � • .. � . ._. . . .. <br />w. �;__ �. .. <br />t '"s.'!��'\�^`� �'�"` -- � f • <br />1 i Vt �r�1(��1 � �-" .. . <br />6 <br />% (oC�, � L; � � c� , t� . _. k- , <br />`��:0�-� � � �� , M" ti <br />r ��,- <br />� `,1 � � .__ <br />Revised December 9, 2005 <br />\\metro-inet.usUtoseville\CommDev\PLANI�!ING_AND_ZONING�Application Forms\Setback Pennit Application\Setback Permit Application(2006).doc <br />Page 3 of 3 <br />