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b. L�sting of-r��r��es and ack�resses for eaeh eorr�'rguous property owrter. <br />c. -�r-apas��-pl�r� (2 capi�s}-i�-��i-�rg-s-i-�€-plax�, landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be 8 1/2 x 11. ' � s � <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 11. <br />Other documents as requested by the ��t3c_P���. <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. Signature: The above statements are true and correct to the best of my knowledge. <br />Applicant Signature: C���n�.� <br />Property Owner Signature: � <br />Date: YY1 o�u��,. l�` ec,�. Phone #: lo S �-� y.4 -1-f q3 g Fag #: <br />E-mail Address: <br />�,f� CtZ��I� . , � ..., _, _,_r : <br />� ��'�1� � . ," i <br />. i �'1� £Y��i � P.�= , `` , <br />0 <br />.�o�� Li ��C. <br />.,,�5,-e�v i 1 �-e � � N <br />..- 4.. <br />.� . _ <br />Revised December 9, 2005 <br />\�netro-inet.us�Roseville\CommDev\PLANNING_AND_ZONING�P.pplication Forms\Setback Permit Application\Setback Pennit Application(2006).doc <br />Page 3 of 3 <br />