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• IlH J* <br />• •!• air: • <br />• •U]t • <br />• Ufa <br />^ ir •nil <br />• HI <br />n. <br />.fst of owners within 350' of the subject property, <br />labels and map may be obtained from Hennepin <br />ance, Government Center, A-60w 300 South 6*'' <br />>ne 612-348-5810). <br />id by a licensed surveyor) - refer to handout for <br />application if not included on required survey, <br />ting and proposed contours) if land alterations <br />n (grades). <br />ude marital status) of all persons with an interest in <br />include name(s) of applicant(s) if not current <br />able (see staff for requirements). <br />plication, please attach a separate list of any other <br />if this application. <br />lO COPIES OF LARGE DOCUMENTS OR COPY <br />R SMALLER) FOR ALL DOCUMENTS <br />d drawings of all documents, plans, etc. to be <br />• «*(elllle <br />ust sign this application. Please remember that <br />above information has not been included. <br />lat Land Use Application is complete. <br />Date <br />•lel ■ • <br />• 1« <br />vide all information required or requested by the <br />dditional fees (staff time not covered by original fee <br />Incurred in review of this application, and certifies <br />nd correct to the best of hiSiHier knowledge. <br />______________Date /- g./> o y <br />•UKle <br />eVVil^ele <br />4 <br />d agrees to this application and further authorized <br />by City staff, consultants, agents, commission <br />r purposes of investigation and verification of this <br />Date <br />ices 25 days before the Planning Comrrtissien Meeting, <br />the third Monday of each month. Applicants must be present <br />nning Commission and CoundL If an applicant is unable to <br />rrangements to have an authorized agent attend in your place <br />ils Ihe meeting. <br />’O <br />in