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1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />required submittals <br />____Completed Application Fonn. <br />S us. of cwncn Wioun 350'. <br />------must obQin tUs lUt. labels and map from Hennepin County Department of Fmance, <br />A-603, Government Center. 348-3271). <br />____Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />Attach legal description to application if not included <br />____Topographic survey (existing and proposed contours) if land al <br />STK reg^n^^^^de marital sanrs) of all persons with an interne in the <br />-------^peL ras would iiKlude name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />------ As an addendL to this application, please anach a separate list of any other pers <br />you wish notified of this application. <br />js ssisi'’arr,? <br />SUBMITTED. (Staff will require to scale drawmgs of all documents, p ans, <br />submitted.) <br />The Applicant and Property Owner must sign this application. PleaM remember that your <br />I^pltaaorin is not complete if the above information has not been included. <br />Certification by Clerical Department that Und Use Application is complete._____ <br />Initials of Clerical Staff:_________________________ <br />:5s,? Sits- -supplied is true and correct to Uie^^ his/her knowle g . , ^ <br />* r .•.rivnature>^^^^~^^^^____________DateApplicant s signature <br />Date J t/?S <br />Owner’s signature___ <br />Applicant must have aU ^AppUcanJ must be present at aU scheduled <br />Commission Meetings are held on me ^ councU. If an applicant is unable to unend a scheduled meeting, <br />review meetings of 3^ authorized agent attend in your place and advise the Building & Zonmg Office <br />of'this change prior to the meetmg.