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REQUIRED SUBtVUTTALS <br />All Bf Ihc follny lng inferm.lion mu.t h. ...h-inTtf by H., .nnii,...,., <br />order for vour application to he foinIdi»red fftmp|f(g7 Hwgimg qan in <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />of owners within 150’, labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Fmance, A-603, Govt Center, 348-5910). f oj <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />?iSjmduS.“ ^ for <br />To^graphic survey (existing and proposed elevations) if any changes in existing <br />f ■ (*) oopy 8'/," X 11” for reproducUoiL <br />Skeuhes or plam of noor & elevation views (provide one (1) copy 8'/j" x 11") <br />?! ^ of applicant(s) if not current owner(s) <br />As an addend^ to this application, please attach a separate list of any other <br />persons you wish notified of this application. ^ <br />Additional items as may be requested by City staff. <br />—-nfMS “l!'Tl'^?Slirrilr Pl'«« .hat yaat <br />uvMicr ncrcDy acKnowicoges ana agrees to this application and further authorizes reasonable <br />memb«ff**" City staff, consultants, agents. Commission members, and Council <br />members for purposes investigation and verification of this request. <br />Owner’s Signature Date <br />i / • ^ <br />H- ■*=• •/ir.1 <br />4;si <br />-