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ll <br />required SUBMITTALS *rT . <br />1 W-' Completed Appliciuon Fonn. <br />^ as Ks;.“<s, u. 0. "— Hennepin County Department of Finance, A 603. oo <br />V __for CUrVC' <br />2. <br />3. <br />4. <br />5. <br />c. <br />7. <br />8. <br />9. <br />10. <br />nClUi^^UA -----r <br />£ ^'rmSe of survey (signed by . licensed sut^cyor, - refer to lundout for survey <br />Construction plan, if tLTa sepaate list of any other persons <br />■ AS an aldendum to this applicanon. please attacn p <br />' you wish notified of this anplicauon. <br />you ARE REQUIRED TO » <br />submitted.) <br />r\ MW tniict sicn ihis application. Please n <br />]^lic1t&fcoS^"^f 0^ .Pove information has not been included. <br />remember that your <br />Supplication IS nui wuimij / <br />Cettmeation by Cleti^ Dnpatt-e"* that Und Use Appli^on is complete. <br />Initials of Clerical Staff:------------------------------ <br />APPLICANT’S SIGNATURE i^ormation required or requested by the Zoning <br />The applicant hereby agrees time not covered by original fee <br />Date <br />Applicant’s signature j {(^f ----------------- <br />OWNER’S SIGNATORE application tmd finther <br />The owner hereby ^^/Sumts. ijents. commission tnembms. tmd Conned <br />:^h:rforpS;;^fe‘°° »■»» T^t^Ay^r — <br />Date <br />me meeting.