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• •• . . r : . : <br />REQUIRED SUBMITTALS <br />W <br />ALI-fiOke follpwigg informatfop niu;^ submitted bv the imnliraHnn deadline date In nrH.. <br />for your application to be considered enippiata. -----------*• <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />150'. laws and plat map (you must <br />obtain this list, labels Md map ftom Hennepin County Department of Finance, A-603, <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8/2" x 11" for <br />reproduction. <br />_ Topographic survey (existing and proposed elevations) if any changes in existing grade <br />are proposed. In addition, provide one (1) copy 8/2" x 11" for reproduction. <br />— Sketches or plans of floor & elevation views (provide one (1) copy 81^2" x 11' ) <br />^ List of the lepl naines (include marital status) of all persons with an interest in the <br />^ would include name(s) of applicant(s) if not current owner(s). <br />- “ addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. ^ <br />Additional items as may be requested by City staff. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zonina <br />Admin strator, agrees to pay additional fees (staff time not coveted by original fee payment) and/or <br />consultant ejenses incurred m review of this application, and certifies that th^nformation <br />supplied IS true and correct to^jJ^^est of hisflicr knowledge. <br />Applicant’s Signature Date 'y— //- 0 ^ <br />OWTVER’S SIGNATURE ^ <br />The ov^^ler hereby acknowledges and agrees to this application and further authorizes reasonable <br />—Owner's Signature Date ^ 3 <br />Meeiir' Tlllfn'o r ■!'' Ciiy Offices 25 days before the Planning Commission <br />CoJncr“lfT“a‘’'r'’rr ‘" bi r«1ew'l.™ngf.nhe pj'aunfng Comm^sloTa^d <br />/A <br />.1 .1