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L <br />REQUIRED SUB.\UTTALS <br />An of tin foltentni Informirton mmt h* lubmltttd bv th# ■nuiu.^rtA, deadtln# dat* In <br />for vour inpHcatlon lo bt comMarwi cnmpl#t>. m wiwtr <br />1. <br />2. <br />Corapleted Application Fom <br />List of owners within ISO*, labels and plat map (you must <br />obtain this list, labels and map from Hennepin County Department of Finance, A-603 <br />Oovt Center, 348*S9I0). <br />Certificate of Sur>*^ (signed by a licensed surveyor) and include hardcov ’er <br />calculations as required. In addition, provide one (I) copy 8'/j" x II" for <br />5. <br />6. <br />7. <br />8. <br />reproduction. <br />To^graphic survey (existing and proposed elcvauons) if any changes in existing <br />grade are pressed In addition, provide one (I) copy 8'/," x II" for reproduction. <br />Sketches or plaiu of floor A elevation views (provide one (I) copy 8'/i" x 11") <br />List of the le^ names (include marital sums) of all persons w ith an interest in the <br />property^ This would include name(s) of applicant(s) if not current owner(s). <br />Additional items as may be requested by City suff. <br />The Afiplicmt Property Oeroer inuii sign this appUcaiion. Pleue remember tlut mu YirUiiw ippimilpfl h net centpleie if ih. .h... i,.. .... h... <br />APPLICANT'S SIGNATURE <br />m wliunr hereby egrees ro provule ell infonrution required or requested by the Zooiiu <br />Adnurorrotor. .gree. to pj^rtliliOMl fee, (.uff time i»t covered by ori^l fee pujmeut) •«Por <br />I vT ‘PP'!"'!®". “><l ceniHe, thut rhriufotmetionsupplied IS true and^ixect to the best of his/her knowledge. <br />Applicant ’s Signature <br />_wn6ct to the best of hislier knowledge. <br />OWtiER'S SIGNATURE <br />“<* •««• '» *i, ipplicaiion eud further ■uihotire, recoueble <br />P">P«*)' Vy City soir. cotrtulaot,. igena, Commisiion members and Council <br />members for pu^o^of investi^^n and^rification of this request. <br />Orraet', Signature -------Dale <br />fJS- it'rt: 'IX S’.twsts: <br />ctn,“,:!5^,^ XSng “ * Zoning Omce of dua <br />'#2950