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4. <br />required submittals <br />All nf ih> fnllowin. informatio n mu-a h« submitted br tht MriiwtlOT <W«UiBt ittflrtg <br />fof vour application to be considered coniplctci <br />1. Completed Application Form , <br />2. /-i^'jCenified Property Owners LUt of owners within ISO' (you must obum^s list from <br />Hennepin County Department of Finance, A-603, Govt Center, 348-3271). <br />3. Plat Map (obtained with property owners list). . , ^ <br />■ Certificate of Survey (signed by a licensed surveyor) and me ude <br />, calculations as required. In addition, provide one (I) copy 8'A x 11 tor <br />^^rapWe sun ev (existing and proposed elevations) if any ctoges inexisting grade <br />^am'^foposed. In addition, provide one (1) copy 8.A" x ll" for rep^-j^ >on- <br />7; ^ legal names (include marital status) of all petsons with an mterest ,n the <br />oropertv. 'IThis would include name(s) of applicant(s) if not current owner(s). <br />8. s/^ As ^ a'ddendum to this application, please attach a separate list of any other persons <br />vou wish notified of this application. <br />9 Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remember th« jaHlE <br />,nnii.x,.nn u no.' comnlele if the above jnfprmatjpn has npt been incMetL <br />Th/applic^ Lre^^agreefm provide all information required or requested by the Zonii« <br />MmWs mto aTr«s o pay additional fees (staff time not covered by original fee paymenO <br />"cStam expenis^ncureed in review of tins application tmd ceruf.es dm. dm <br />information supplied is u^md correct to the best of his/her knowledge. <br />Applicant’s Signature ( <br />m^Mr^herSy and agrees to this application and further auttonzes <br />Owner’s Signature Date <br />A i v!„*c muct he nresent at all scheduled review meetings of the Planning Commission <br />this change prior to the meeting. <br />8