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b. Listi-�g-4�-rr�r�r�s- ar�� a��e�ses -€�r�ae�-earrtrguotts p�oper�y o-vvr�er. ,_� ._ <br />c. ��apos�d--p��r� (2 copf��}'rr�E-l���rr�g-�i�g-pla�, landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be 8 1 /2 x 1 L �� : �-' r? �� _� . . , ___ <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-��y__�?�a.�e�. <br />1L It is not necessary, but helpful, for the applicant to attend the Development Review Committee <br />meeting to clarify issues. <br />Note: The Development Directar will make a decision and notify the applicant within seven (7) <br />business days. <br />12. Signature: The above statements are t�nd correct to the best of my knowledge. <br />�- � <br />Applicant Signature: <br />' � �G'�_ <br />'✓ ________— <br />Property Owner Signature: ,�il�' <br />Date: '�'- - C �' Phone #: ��;�/ � ���/� (�'7Fag #: �� <br />E-mail Address: h P�� 5 n►� � C, � Gi e I- C � t�►-� (°� % <br />��P � ILe � St -� V Sa , re� c ;-� s 5 . � :Y � <br />� <br />_ � r�=sG K��,e � -� r'+� _� 3 � , , _ � - v's �:�; : <br />� ✓/ j .� <br />� '�' • � <br />� �'i�1 �1(l�l � p.�-' '-_., <br />6 <br />;>�' %C� � C�--� ✓ ` c� <br />�'�'`�> C�se� i 1 �� , �/l ►� <br />_ <br />� . . . ,. t= , � <br />Revised December 9, 2005 <br />\�metro-inet.us�Roseville\CommDev\PLANNING_AND_ZONING�.Application FonnslSetback Permit Application\Setback Permit Application(2006).doc <br />Page 3 of 3 <br />