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10/22^10:42 T>€ CITY CF OROMD 612-473-7357 007 <br />• ♦' <br />01)^1 ShCCtB <br />Igyim iBfox—tioo »g«^ be OTbaittad hy <br />AmmAl *nm iB order for war >tip^«tioo to bo <br />^0 <br />.1 <br />< <br />y <br />lotOf <br />1 «# atmora within 150' (you must obtain2.^Cortifled Froporty Owners Uat of center <br />“ this lift from Hennepin county Department of Finance A 6 <br />348-3271). <br />3.iL^l«t Map (obtained with .^^^.yor) to include4, »o certificate of aurvey (algned by a lleeneeo aurve^ # ei,*xll" for <br />coiiS^bardcover caleulationa as required (provide one (1) copy 8% xii <br />5. ^^"*^Kp*^jraphie survey (existing and proposed ***^ changes <br />“~ln existing grade are proposed (provide mo c^y * 8fc"xll"). <br />6 X Sketches or A ana of floor s elevation views (provide 1 copy 8% xll ). <br />« IS«SdS to thl. .ppllctlon, PX.... .tt.<* . Il.t of <br />----ray oth.r praran. you «l»h notifUta of thl. .ppllMtlon. <br />»■ JXiaitleo»l Itra. ray b. pra«rat.d by City .toff. <br />The Applicant and Property Owner nust *^9n^thl^p^ica^oru Please <br />remember that vonr warlence syli«tion i« <br />Infermati <br />.,>... to ptouid. .11 ^"‘2;Ju^l”2«'Vt.« <br />r^..t.d by th. .nl/2r oon.olt.nt .sp.n... <br />rappxi.- i. ttu. raa _ <br />Applicant*a Signature <br />ONMBS SX <br />The owner ss's&r <br />authorises reasonable entry for purposes of investlga- <br />agentar Commission m <br />tion and verification <br />rr. <br />keat. <br />— ^___Owner * a Signature <br />bpplicrat ra.t hav. •! ff^^^e^iraira^MraUotV .rST*Mid on tb. <br />jirs^s’o.^^or.?ch“Vop: <br />outhoritra .prat attond in your plae. w <br />Offie. of thl. ehrap. prior to th. nratinp. <br />an <br />Zoning <br />t <br />A <br />I