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1. <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted hv the aDDlication dg^adUne dat.Hn prdtt <br />for vour applip^ififtn to b< considered complete; <br />XX Completed Application Form . . r ,« <br />XX Certified Property Owners List of owners within 150’ (you must obiam this list from <br />Hennepin Counr>' Department of Finance. A-603. Govt Center, 348-3271). <br />XX Plat Map (obtained with property owners list). . . . u ^ <br />lET Cerrificate of Sur%cy (signed by a hcensed surveyor) and ,nc ude l«rdco«r <br />calculations as required. In addition, provide one (1) copy S'/i x 11 lor <br />NA^mrapWc'survev (exisling and proposed elevations) if any changes in existing grade <br />~ are proposed. In Addition, provide one (1) copy 8W x If for reprt^ucr.on <br />XX Sketches or plans of floor & elevation views (provide one (1) copy 8 x ). <br />List of the legal names (include marital stams) of ail persons with an interest in the <br />oroperty This would include name(s) of applicant(s) if not current owner(s). <br />N^A As an 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. <br />TTre Applicant and Propeny Owner must sign this application. Please remember that S2U£ <br />—,ppiir^.inn is not comnlete if the abo ve infpnnjMwii h«i) IWt liwn intMtH. <br />Th/tpplteal hereS^ag^^ provide all imdtmation required or requested |>y <br />Admtoator. agrees to pay additional fees (staff time not coverrt °ng|^ f« p^i«^ <br />and/or consultant expenses incurred in review of this applicatton and cetttfies that the <br />information supplied is tru^d correct to ihc^l^st of his/her knowledge. <br />5. <br />6. <br />7. <br />8. <br />9. <br />: tru^md correct to me oesi <br />Date 7-11-95Applicant’s Signature <br />'.S“c“r,r ^ <br />members for purposes^pf invesugation and vMtfipation of this request. <br />'-/d ^Owner’s Signatui 'Date 7-11-95 <br />Applicant must nave at. sutmuJs 25 days before Ure Planning Commission <br />this change prior to the meeting. <br />8