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2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />required submittals <br />1. ____Completed Application Form. <br />Describe request in detail. . <br />-------Cenified Propoty Own«* Us. of Depamnen. of <br />-------must oboin this list. labeU and map from Hennepin t,ouni) f <br />_ to <br />_ “rai description to application if no. inclu^ on <br />____Topographic survey (existing and proposed con ) <br />changes in elevation (grades). oersons with an interest u;—L“riXr=Jts.r;7.ri;;ir;»—--<»—2r=;:r i' « zrns».- <br />persons you wish notified of this application. <br />YOU ARE REQUmED TO SUPPLY 30 <br />FOR REPRODUCTION (U" X 17" OR SELLER FO^ ^ <br />SUBMITTED. (Staff will require to scale drawings of all documents, pi <br />submitted.) <br />■nic Aonlicant and Properqi Owner must sign Uus application. PleaM remember Uiat your <br />Jplfrato U not complete if the above infoimauon has not been mcltide . <br />Certification by Clerical Department that Land Use Appli^ion is complete. <br />Initials of Clerical Staff:. ______— ------------------------ <br />applicants SIGN^ i„formauon required or requested by the Zoning <br />The applrcant Iternhy agre P (staff time not coveted by original fee payment) <br />''‘S^r^^IiaT^ns^ incurred in review of Uiis application, and certifies *al Ute <br />;;^:™urstpplieri" m.c and correct to die best of hisdier knowledge. <br />c LxUc-.Date ( ^ ^ <br />Applicant ’s signature _ <br />OWNER'S SIGNATURE -mnlication and further authorized <br />The oumer “y City 'uff- consultente. agents, commission members, <br />"^cil m^bers for purposes of investigation and verification of Uus request <br />^ r vw iv\ r~ .i.jx L V -^ V^_Date _l/2i£—"'wner's signature _ <br />applies, musl have all su^'mluah into ^e <br />Piling Commission Jd Council. If an appUcan. is «">•>"'V"'"!! <br />,11 schmiulcd review lo h7e an audiorired agen. anend in your place and adv.se die <br />B;rg“'’^a ofLTISge poor .0 die meelmg