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1. <br />2. <br />5. <br />6. <br />8. <br />required submittals <br />---- Completed Application Form <br />obtain this lii!, hbds M^map fom Hcmepin'c ' nGotl Center, 348-59101. ^ t^P'" Count>- Deeam!^.q.(Xiamcc. A-603, <br />- ■■>'' -ludc hardcover <br />- ...........z ,.rcr"n <br />property. This would include namefsl of anr.r ^ mtercst in the <br />_ As an addendum to this app^cat^n ^ <br />you wish notified of Ws^Sok <br />---- Additional items as may be requested by City staff. <br />Mrianw .ppIic„.i,.J*?!’'!f.7c^nlrteTr !!. P'"’“5' remember that ifinr^ ---S^^-iBIgEination has not been included, <br />APPLICANT’S SIGNATURE <br />l"d'm^&;a^;:^v?;r:i >’>■ <br />consultant expenses inemt^ in review of this annlir. ^ <br />supplied is true and conect/to the best of his/her knowiedge ’ *"** '"lu-'niaiion <br />Applicants SignatuCJ^i^k=.___ Pa-e <br />OWNER S SIGNATURil <br />entry onto tt"pmpel^j ‘’b/city sta^Cnsuhal!'.!’ Igems'cor^'’- <br />members for purpLes of mvestigation a^ verifreat’ion of this r^esr" <br />Owner’s Sign^ re <br />Meeting. Planllin^^i^bi^eetTngs^'^e" heT^^ on ‘‘the S'm' a f® <br />CoJncll. If ^T,ppS7sm^k^^^ rsehed"e'd'‘mfer ‘ CommIssIoTa"id <br />have an authorized agent attend in your place and to art!? please make arrangements to <br />change prior to the meeting. ^ ^^Iding & Zoning Office of this <br />jXi, •: •, <br />j a jJ