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>v <br />le rollowlng material must be attacked to this applicati^ <br />A map or plat showing the property affected and all lands <br />within 150 feet of the boundaries of the property affected <br />by proposed change. ( copies) <br />An abstractors certified property certificate listing the <br />names and addresses of the owners of the land within 150 feet <br />of the boundaries of the affected property as those names <br />appear on the records of the County Auditor of Hennepin <br />County. <br />Acknowledgement yd Signature; Hie undersigned hereby repre <br />sents upon all of the penalties of law, for the purpose of <br />inducing the Village of Orono to take the action herein <br />requested, that all statements herein are true and that all <br />work herein mentioned will be done in accordance with the <br />ordinances of the Vmage of Orono and the laws of the State <br />of Minnesota. <br />Date '^ <br />i •(T' <br />f * <br />^ Signature <br />f^or Official Comments Only: <br />i ,V - <br />• i <br />Vi <br />1! <br />k„t <br />E a <br />y