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required submittals <br />All of tht fnllnwin. infnrmatio.. n»t<t he submitted t)T tby qppB<atiW ip.pota <br />for vou^ ^ppHcatinn to rnnadered coniplctct <br />1. <br />2. <br />j. <br />4. <br />5. <br />6. <br />Completed Application Form <br />~7 Certified Property Owners List of owners within 150*, labels and plat map Cvou must <br />obtain this list, labels and map from Hennepin County Depamnent of Finance. A-603. <br />' Certificate of Survey (signed by a licensed surveyor) and mclude hardcover <br />"“calculations as required. In addition, provide one (1) copy VhT x 11” for <br />* Topo<^phic survey (existmg and proposed elevations) if any changes in existing grade <br />— arc proposed. In addition, provide one (1) copy 8'^” x 11" for reproducuon <br />Sketches or plans of floor elevation views (provide one (1) copy 8 /i x 11 ). <br />List of the legal names (include marital status) of all persons with an interest m the <br />aaa m # _\ ^ ^ I A ^ ^ ^ w ■ II Y 1P* I ^ I <br />7. <br />List ot tne legal names iuoaiuai — r----------------- <br />property This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other persons <br />...K.. fhic leat, <br />8. <br />you wish notified of this application. <br />Additional items as may be requested by City staff. <br />He Applicant and Property Owner must sign this application. Please remember vsiffi <br />..nniienrinn is not co mplete if the above informatipn hpii npf bee" mbMblL <br />information supplied is true antjf^on^ to ih/best of his/her knowledge. <br />Applicant’s SignanggH^Date - y- 9S <br />C W a?=n“ “m" <br />members for purposes of iqy^igation and verification of this request. <br />Owner’s Signature Date <br />fhin change prior to the meeting. <br />8