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REQUIRED SUBMITTALS <br />All nf the followiny information ^ <aibmitted hv the application d^adUn^ ^ate in Qr^er <br />for vour application to be considered complete. <br />1. <br />2. <br />3. <br />4. <br />5. <br />Completed Application Form <br />Certif.ed Property Owners List of owners wiihm 150’ (you must obtain this list from <br />Hennepin County Department of Finance, A-603, Govt Center, 348-j 271). <br />i/ Plat Map (obtained with property owners list). . . , . u .. <br />“Ttertiricate of Survey (signed by a licensed surveyor and mc ude hardcover <br />calculations as required. In addition provide OM (1) copy 8 A x H <br />reproduction. Adv.i-C -_rV <br />6. <br />7. <br />8. <br />9. <br />reproducuon. rrcivn.ue.^— <br />' Topographic survey (existing and proposed elevatioris) if any ctogcs existing gra ^ <br />— property. This would include name(s) of applicant(s) if not current owner(s). <br />__As M addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff.Additional items as may be requested Py t.-iiy , . /. . <br />The P^ny Owner m!«t sign this application. Please remernber to yfili <br />v.ri«nc> anniiraHnn is not compile if Hie above InformMiPii hai not been inclqtfgtL ^ j <br />IS^^S.^r^ees “oTay addC^ nTcoterS <br />and/or consultam expenses incurred in review of this application, and certifies <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant’s Signamre c/7.Date -sj-3£ <br />OWNER’S SIGNATURE . „_ki» <br />The owner hereby acknowledges and agrees to this application and further authorizes <br />entry onto the property by City staff, consultants, agents. Commission members, and Councu <br />members for purposes of investigation and verification of this request. <br />Owner’s Signature Date <br />this change prior to the meeting. <br />8