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2. <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Describe request in detail. <br />Certifirf Property Owners List of owners within 350 ’, labels and plat mao fvou <br />miBt obt^ this list, labels and map from Hennepin County Departmelit of FhiMce <br />A-603, Government Center, ' finance, <br />° <br />Attach legal description to application if not included on required survey <br />ch^? in 'elS <br />List of the^gal names (include marital status) of all persons with an interest in the <br />proper Tins wonU includ. nnme(s) of app!ican>(s) if no, current o™^,^ <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of anv other <br />persons you wish notified of this application. ^ <br />5. <br />6. <br />7. <br />8. <br />9. <br />FOR documents OR COPY <br />all DOCUNffiNTSSUBMITTrn rCMff\sr.ii ■■ •" *' *^*ALLER) run all DOCUMENTS <br />fub^iSI Pl^. etc. to be <br />The AppIicMt and Property Owe.- must sign this application. Please remember that your <br />appheatton ,s not complete tf the above information has no, been included. <br />APPLICANT’S SIGNATURE <br />Applicant ’s signature <br />( <br />Date <br />OWTMER’S SIGNATURE ^ <br />The owuet hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members and Council <br />members for purposes of investigation and verification of this request. ’ <br />Owner’s signature LiuMi.vU/ L. |«ni^Date ____• I ^ • 0 1 <br />Applicant must have all subminals into the Citv offices M h \v « .k- di , • /- <br />S.T. oft^4rEEIF~ <br />✓•> <br />1