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REQUIRED SUBMITTALS <br />All Ilf iht folloffinr Infomiation n.«.t h. hv ,|„ <br />ftrder for vour application to be con<iilergd cnmpfetg;.......gaic in <br />^ Completed Application Form <br />2 Certified Proj^^ Owners List of o^Miers within 150’, labels and plat map (you <br />must obtain tbs list, labels and map from Hennepin County Department of <br />Fmance, A-603, Govt Center, 348-5910) or <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br /><■> X "" f" <br />To^papHc su^^•ey (existing ^ ptopdatf dei^tioiis) 'if any changes in -vi..t.g <br />grade-aie proposed: In add,non, provide one (I) copy g'/y x 11" for reproducUon* <br />Sketches or plans of floor & elevation views (provide one (I) copy 8>/y x II") <br />List of the legd names (tnclude marital stains) of all persons with an interest in <br />fte propey. This won d include name(s) of applicant(s) if not current ownW) <br />As an addend™ to thts application, please attach’ i roparate list of any'Sher <br />persons you Wish notified of this application. / «“»cr <br />Additional items as may be requested by City staff. <br />1. <br />2. <br />3. jy <br />4. <br />5. __ <br />6. HA. <br />7. M. <br />8. <br />The Applie^ WrP^pei^ <br />APPLICANT’S SIGNATURE <br />^e applicant hereby agrees to provide all infotmation required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee paymenO <br />“f W-ation, and certifies Vat Jis/ffu and correct to the bes <br />OWNER’S SIGNATURE <br />""l^Srees to this application and further authorizes reasonable <br />members for"p^s2^^^nvestigl'lionTd''ve“ifi^^ <br />(Uk.Owner's Signature Date <br />% t • • <br />O *'7 O 4.I i5'‘±