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be•d �dlol <br />� . .,. ' <br />11.. <br />;.; . ; <br />12. <br />�� <br />b. Lisring of names and addresses for each contiguous property owner. <br />c. Proposed plan (2 copies) including site plan,.landscape plan, grading and drainage <br />plan and exterior building elevation drawings showing buildings. Such drawings <br />shall be S 1/2 x 11. <br />fQ <br />e. <br />Narrative: Attach an explanation of why this permit is needed, the resulting <br />impact on flxe neighborhood, and responses to items 9,10, and 11. <br />Other documents as requested by the Clty Planner. <br />It is not necessary, but helpful, for the applicant to attend the Development Review Committee <br />meeting to clazify issues. <br />Note: The Development Director will make a decision and notify the applicant within seven (7) <br />busirzess days. <br />Signature: The above statements are true and cozrect to tlxe best of my knowledge, <br />Applicant Siguature: fJ�...�.�rp • - � - ..-��S �-d--�� �-� <br />Property Owner Signature: � -c.� �� � <br />Date: !� � � � - � � Phone #: ��S/- `��8 �8.�7Fax #: <br />E-mail Addresa: <br />���� �e:e.y�,b�-,l�l�l�v�� s�-1- Ic�o3 w R�� <br />,� G <br />�' �Q� G,� <br />-�-b�c.�-�, <br />_,S. c�.;v�n <br />wv�c�..�l-e -t--o �-�F`e v�� -'r�-�-�- '�-w�-' �'� <br />c���'�`"l w��-- �e�t.vt�7�e�5 �� <br />b`l- �3y �e � �er � � <br />� �� <br />y, �ro 5'i- \O \SS �`�'i�P-�n �lv�. vJ <br />�� <br />Revised December 9, 2005 <br />\\metraine[.uslRosevillclCo�+Dev\PLANNAG_AND_ZONiNGWpplicatio� iomu�5etl�ack Pemnil App��cation\Setback Permi� Applicatian(2006).doc <br />.., _ <br />Page 3 oF 3 <br />£0:60 90aZ—LT—AtiW <br />