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r <br />i <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />Describe request in detail. <br />Certified Property Owmers List of owners within 350*, labels and plat map (you <br />and map from Hennepin County Department of Finance <br />A-603, Government Center. 348-327IV ’ <br />2. <br />3. <br />4. <br />5. <br />6. <br />----------f sj <br />* A-603, Government Center, 348-3271). <br />7. <br />8. <br />9. <br />. Attach legal description to application if not included on required survey <br />■ Sto'.le^S: (pS® <br />Constniction plan, if applicable (see staff for requirements). <br />As Bn BddcndlllTI tn thlC■ a<*‘*cnd‘m to this application, please attach a separate list of any other <br />persons you wish notified of this application. ^ <br />SURMITTirn /c.I^ n . onriAi^LisK; I-UK ALL DOCUMENTS <br />fubrnmH) “f pl»ns, etc. .0 be <br />Property Owner must sign this application.. Please remember that vour <br />pplication IS not complete if the above information has not been included. ^ <br />---------------—------------------------ JJatc <br />APPLICANT’S SIGNATURE^sr S2 S'- •issts. “rr s <br />Applicant’s signature ilMyA/Jy _________Date Zl-13^ <br />OWER’S SIGNATURE <br />Jn,l°Zo Ii,?t™relr'b ' r? “■* f'«0">ble <br />members for nu^^c !^r consullanis, agenis, commission members, and Councilmembers for purposes of investiga^n and verification of this request. <br />Owner’s signature f Date <br />Applicant must have all submittals into the City offices 7% iJr oi ••• <br />Planning Commission Meetings are held on the tWrrf Mntui before the Planning Commission Meeting, <br />schriuled ,ir„ PI. “I "'b, "»"* *PPli«>r. .masr be present <br />scheduled tnceting, please make arraneements to hav^ • k tppljcant is unable to attend a <br />Building Zoning Office of this change prior to tl e meeting*** ^ <br />.1 . ' • <br />• V y !l