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REQUIRED SUBMITT.\LS <br />for vour application to he considered complete! <br />1. <br />3. <br />4. <br />6. <br />7. <br />8. <br />9. <br />O^rrs Ust of owners wirhin 150’ (you must otam^s list from <br />Hennepin Couniv Department of Finance. A-603, Govt Center, j 48-3-71). <br />s" x “colculations as requited. In addition, provide one (1) copy 8-^ x 11 <br />?o'’p'^raphic survey (existine and proposed elevations) if any changes in existing grade <br />Ir?;ro7osS in Addition, provide one (1) copy 8-V x ‘V, ™ Tu-) <br />Sketches or nlans of fl or & elevation views (provide one (1) copy 8 . ^ <br />St or the legal names (include marital status) of all persons with an interest in the <br />oroperty This would include name(s) of applicant(s) if not current owner(s). <br />As LTddendum 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. <br />The Aonlicant and Propetty Owner must sign this application. Please remember ^ iSBH <br />=-^con,nie.e if the aUe informctloq not <br />information supplied is true^^coiT^^e _be^ of hisflier knowWge. ^ ^ <br />Applicant’s Signature Date <br />The owmr herebv acknowledges and agrees to this applicancm and further autho^s^M^^ <br />entry onto the property by City staff, consultants, apnLs (Tomnussion members, a <br />members for purposes of inv^a^onan^v^rifica^ of this request. <br />^ DateOwner’s Signature <br />m tave aSttho^^^^^^ in your place and to advise the Budding 4 Zonmg Office of <br />this change prior to the meeting. <br />8 <br />i