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M <br />mmarmstm <br />REQUIRED SUBMITTALS <br />M oflht follftTyin g information murt bt ffiifrmitttd bv the applicai on i- <br />order for vour annlica Hon to hg cnnaidgr^it fftmpleti.".......sui_siiamm£.flai£_Jii <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />Certified Prope^ Owners List of owners within 150*. labels and plat map (you <br />must hst. laWs and map from Hennepin County Department of <br />Fmance. A-603 Govt CcMf. 348-5910). 4v. ./ - X, cX! <br />Certificate of Survey (signed by a licensed surveyor) and incIuJe hardcover <br />calculations as required. Ip addition, provide one (1) copy g'/i" x 11" for reproduction. i* lur <br />To^graphic survey (ex:-tir.g and proposed elevations) if any changes m existing <br />grade are proi»sed. In addiUon, provide one (1) copy 8'/i" x 11" for reproduction <br />Sketches or plans of floor & elevation views (provide one (1) copy 854" x 11"). <br />List of the leg^ names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />APPLICANT'S SIGNATURE <br />Applicant's Signature Date A J, 3 -6jl. <br />OWNER'S SIGNATURE <br />Owner's Signature ^Date "Ox. <br />Applicant must have all submittals into the City offices 25 days before the Planning <br />nmssion Meeting. Planmng Commission Meetings are held on the third Monday of ^a<»h <br />ftyrA«. © ‘7 <br />/ J