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• • •• • // -■'^xi>*cc?^ <br />•• • <br />required submittals <br />.PPlN,l.n d..d„ne H... .. <br />Completed ADoHcatinn Pm™1. <br />2. <br />3. <br />^ Completed Application Fom <br />Certified Property Oxvners List of owners within 1 sn* i,k i ^ . <br />obtain this list, labels and map fi-om Hennenin rmmtJ n ^ <br />Govt Center, 348-5910). ^ «ennepm County Department of Finance, A-603, <br />4. <br />calculations as requhed^.^'^^^ additfon ‘"^lude hardcover <br />5. <br />6. <br />-e£roduct|o^^ -------- -- copy 8/r x 11« for <br />xTr'forT ‘ d"r^Sketches or plans of floor & elevation view. fL.Z.J' J?'' <br />7. <br />8. <br />a property. This would include name(s) of Sca^tf^r®"' <br />/m As an addendum to this application pleJe attLh a r owner(s). <br />you wish notified of this application*^ ^ separate list of any other persons <br />^ Additiona, itents as ntay be'^e,nested by City staff. WU <br />APPLICANT'<5 istinVATriDr/APPLICANT'S SIGNATURE <br />Admirdstrator, agrees^to^^y IdditiSfeM^(]taf by the Zoning <br />consultant expenses incurred in review ofShirinolica ^ <br />supplied is true and correct to the best of Ws^J^^o^ information <br />Applicant's Signature <br />OWTS’ER’S SIGNATURE /” / <br />change prior to the meeting. B“«<lmg & Zoning Office of this ' <br />.7.«•. a <br />■•/ »I?1 <br />^ • *I