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"•n M/\.*m W <br />no Mt'V • <br />vniiI uu <br />Ti 7*7 <br />I <br />V /“c:/o <br /><mSjt / <br />REQUIRED SU'BMITT.ULS <br />1. Completed Application Form. <br />3* ------- Property Owners List of owners within 350’ (you can obtam this list^from <br />------ Hennepin County' Department of Finance, A-603. Government Center. 348-a. ). <br />5; — CeniSe of Survey (signed by a licensed surveyor) - refer to handout for survey <br />rt ^fli^Teeal description io application if not included on required survey. <br />7 -------^o^grlptSc su4 (extstmg and proposed contours) if land alterat.ons tnvolve <br />8 tTorthe le^l" w marital satus) of all persons with an interest in the <br />* ------- p,opertv. TOs would include name(s) of applicant(s) if not current ownerts). <br />9 Construction plan, if applicable (see sail for requmements). oersons <br />10. ------- As an addendum to this application, please attach a separate list of any oth.r persons <br />you wish notified of this application. • ^ <br />FOR '^p “Dt^ON™(U™ir <br />IS^mS-ED ^Sta^' will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />applicalton is not complete if the above information has not been me u e . <br />Cettificat'on by Clerical Depanment that Land Use Application is complete. <br />T«;r npHr.il Staff: _________________-----------------------------------— <br />W • » • • W w ^ <br />Initials of Clerical Staff: <br />"Unusual eSenses tnemred m review of ihis application, and cenif.es that the mtormat.on <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant ’s signature ----, Date <br />tlTwldaes and agrees to U.is application and funher <br />Zo Sie property by dry smff. consultants, agents commission members, and Couned <br />members for purposes of investigation and venfication of this request. <br />Owner’s signamre /l^y Pate AMial <br />AoDiicant must have all submittals into the City offices 25 days before the Planning sfhSulcd <br />Commission Meetings are held on the third Monday meeting. <br />please make arraneements to have an authorized agent attend in your place and adv ise the Bull g <br />of this change pner to the meeting.