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REQUIRED SUBMITTALS <br />AH of the follBwtag infornutloa mast bg mbmittii bv tbe ■PoBcarioB dtadtlng in nrAmmfor Yoar ■PPlkadon to b* roniIder*d <br />1* Completed Application Form <br />2. Prope^C^crs List of owners within 150\ libels ind plat map (you must <br />obtam this list, labels and map from Hennepin County Department of Finance, A-603, <br />Govt Center, 348-5910). <br />3. — C^ficate of Survey (signed by a licensed suneyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8V4" x 11" for <br />reproduction. <br />---- Topographic survey (existing and proposed clevaUons) if any changes in existing grade <br />. are p^sed. In addition, provide one (1) copy x 11" for reproduction. <br />__ Sketches or plans of floor & elevation views (provide one (1) copy BVi" x IT) <br />---- Lul of the lepl names (include marital status)’of all persons with an interest iii the <br />property. Tbs would include name(s) of applicant(s) if not current owncr(s). <br />---- Additional items as may be requested by City staff. <br />MbIImH ob U not compitte If »h. .Hey, ..t h«.. <br />APPLICANT'S SIGNATURE <br />^ WUcul hereby igreee to provide aU infoititation required or requeued by the Zoninu <br />Adimtustrelor, egrecs to pay addiUonal fees (staff time not covered by orig^l fee payment) tad/m <br />in rwew of this application, and ccrtifcs that Oirmfomiation supplied IS true and correct to the of h.-./i,-, <br />5. <br />6. <br />8. <br />----: ---------- uus appucanon, ana c <br />supplied IS true and corrccugjhc best of his/her knowledge. <br />Applicant's Signature ^ r>T.. /-2-/l T <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />Owner's Signature S'? <br />Cfc'elinr Xl'e •«*>" ““ CommissionA Meenngs are held on the third Monday of each month <br />cSM^l'*tf"'“* •' f*»tew mcetliip of the Plaaolng Comaalssloa and <br />puncIL If an wUcant is unable to attend a scheduled meeting, please tn^e ..v..,____ to <br />Sl^Jg^p^t^tte mretiT’' “ <br />^' #29 (?9i •U