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1. <br />2. <br />j. <br />4. <br />REQUIRED SUBMITTALS <br />All of the foUowing information must be submitted by the appUcation qatC W ordei: <br />for vour to be conside red coniplgtet <br />~ Tm of owners wiUiin 150’ (you mus. obuin to list from <br />Hennepin Countv Department of Finance, A-603, Govt Center, j48 j2 ). <br />----calculations as required. In addition, provide one (1) copy Sn x 11 <br />^opC'phic 'surs ey (existing and proposed elevations) if any changes in existing grade <br />- Im pfo Led. in addition, provide one (1) copy 8'.- x - repr« <br />Sketches or plans of Ooor & elevation views (provide one (1) copy SA x 11 ). <br />— St of the legal names (include marital stams) of all persons with an mterest m the <br />----property This would include name(s) of applicantts) if not current <br />L L^dendum 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 Applicant and Property Owner must sign this application. Please ^ <br />3^13Lnl.ea.ion is no , comp lete if thg information hag nPt D«B miviSiL <br />The*aoSteam herebv^ag^*ra provide aU information required or requested by the Zonmg <br />information supplied is tr^^correct to the best of ^^er knowledge. <br />Applicant’s fe^Date^jl^ <br />‘0 diis application and further <br />entry onto the property by City staff, consultants, agents Commission members, and <br />members for purpLs of investigation and verification of this request. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Owner’s Signature <br />rlLr «Cot£tntee ‘Slg“ <br />and couned. If pl.ee and to advise the Building & Zoning Office ofto have an authorized agent attend <br />fhi< change prior to the meeting <br />8 <br />' \vr-i J^*ct