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b. L��i�g o€r�ar��es a�d ae�resses €o�.e�cl� eo�r�iguot�-�ro�e�ty o�v�re�. �. _:, . <br />c. ��a�es��-pl�r� (� eQpi�s}-ir�e��trrg si�� 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 />� <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 �t3c..P-l��.ne�. <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 stateinents are true and correct to the best of my knowledge. <br />i� <br />Applicant Signature: �.�1-�.�c��' <br />�� , <br />Property Owner Signature: 'L� t,�,;� <br />i <br />Date: 3-.��-- vcv Phone #: ��51-(v�ir I( I l✓ Fax #: <br />E-mail Address: -�rv� �C:.i �� �.(� ,,n S h , � ,,�-,�. <br />t��� � � � r � <br />` , � �``�.�� :iO ;� . , _ ,' . ; . � _ : <br />. _, � .i <br />�;C'ig�� �'._; e , F�, <br />� i4� �r-1(��kt'ilp.�:- ..,; <br />U U <br />_�Co � U ✓ � �- <br />", ��.e,v � 1 �-e , M, t`:a <br />f, . � 4_ � - • . _-' <br />_ <br />_ r_ <br />� ,- <br />_ _ ; _� <br />Revised December 9, 2005 <br />\\metro-inet.usUtoseville\CommDev\PLANNING_AND_ZONING�Application Forms\Setback Pern�it Application\Setback Pennit Application(2006).doc <br />Page 3 of 3 <br />