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'. 4��9.fFA',. a r' q 4"'s 1 `t t e?-��r :P. • 3 t, r <br /> � � rs�f ,. ' ''.:'e' a41' � � -. . ,�ext ``m' l'''''''‘`%.17f{# iw. + \, ., <br /> fl <br /> q' <br /> 'r <br /> NOTE: The following material must be attached to this application. <br /> 17. A map or plat showing the property affected and all lands <br /> , within 150 feet of the boundaries of the property affected <br /> by proposed change. ( copies) <br /> 18. An abstractors certified property certificate lasting the <br /> names and addresses of the owners of the land within 150 feet <br /> of the boundaries of the affected property as those names <br /> appear on the records of the County Auditor of Hennepin <br /> County. <br /> 19 Acknowledgement and Signature: The undersigned hereby repre- <br /> sents upon all of the penalties of law, for the purpose of <br /> inducing the Village of Orono to take the action herein <br /> requested, that all statements herein are true and that all <br /> work herein mentioned will be done in accordance with the <br /> ordinances of the Village of Orono and the laws of the State <br /> of Minnesota. , <br /> r <br /> z <br /> 4r. <br /> . <br /> c.. ' ' <br /> Date Signature <br /> For Official Comments Only: <br /> Fr <br /> 1 <br /> � r{Vc <br /> P. <br /> `Fr <br /> 14kp <br /> f , [ <br /> 1, <br /> t <br /> 1 <br />