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U>r2l*200} I2:47|m 7rM-CITV OF OMNO ♦IS224MSII T-$4) F 003/00S MIS <br />required submittals <br />1. <br />2. <br />3. <br />Completed Application Fonn. <br />Describe request in detail. <br />4. <br />5. <br />6. <br />Certifi^ Propeily Ovimeis List of ownen within 3sty ia -i. . -• • <br />must obtain this list labels and man from »j P*** *™P (you <br />- A-603, Government Centi, 348-3270^ Hennepin County Department of Fin^e, <br />i^mmation*^ * ^censed surveyor) . refer to handout for survey <br />7. <br />infoimation. ------------- <br />f ict nf til. _______ . <br />8. <br />9. <br />------„----... «n.>wtWll ------------- <br />pnweny. Tbit *“ <br />— As an addendum to diis application, please attach a senarat^ r.* > <br />persons you wish notified of this appUcatioa *eparate list of any other <br />3’Or ^ <br />FOR "^iSSuCTIO^^ ^^^LER) <br />appUcStn i> not waplaTtf lhe'XvriSoSia^h»'Z!l'S!l^-.f^^^ tantmbar tbai j*ur <br />-------------------------------------- Date <br />APPLICANT'S SIGNATURE <br />,r;r, •; r““«‘ <br />and/or unusual expenses incurred in review of this aonlicatitl payment) <br />supplied is true and correct to the best of hisdier knowledge. ’ ^ the infoimation <br />TORE V <br />Date <br />OWNER'S SIGNATURE <br />cniiy onto the blTcuy °" **!*”” “'^nzed reasonable <br />membere for puiposes of inveMipation and verificalinn of “* <br />Owner’s signature <br />Applicant must have iTlI submiiuls int^fhe^^City §t~ AJitn <br />• •• hrtd onihc O^d Monday of!Srk^*i.** Planning Coia&on Meemg. <br />**J*i*^‘J xMcdngs of ihe Planning Commiukm and Comril if^ Applicana mm be prcKM stall <br />scheduled inectiag, please nuke ariaogeiaenta to have ■>> ^ ^ *” *Ppl»cam h uiuble to attend a <br />Building A Zoning Office of Ail change t^Ae •*“* “ P*" P**** --iW** Ac <br />j^c.ae^ A4<V p,7 e6r/■«<., <br />M: CIt • * #'%J j <br />!