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II 00^‘t <br />i. <br />2 <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />> n .f .H. fnn»u.n. infnr.in.ion must hesufemittert hv the application Headline date in order <br />for vniir applifation to h«> rnnsidered completej <br />^:r'"fn— He^Jiepin Counw Depanmem of Finance, A-603, Gov, Center, 348-a2,l). <br />^ Plat Map (obtained surveyor) and include hardcover^Cenificaie of Survey (signed by a licensed surveyor <br />“calculations as required. In addition, provide one (1) copy 8 A U <br />reproduction. Dconosed elevations) if any changes in existing grade' ^ :rpSS5'"s:rirr™... <br />you wish notified of this application. <br />9 __Additional items as may be requested by City statt. <br />Jit“=,.s~ "r ir.ri.'cr;;'T <br />tafoLbon supplied is .me and correct to the best of his/her knowledge. <br />Applicant’s Signature /<^----------^ate ----- <br />?h“er®here';y Sedges and agrees to this application and further <br />Intty 1 “ the property by City suff. consultants, apnu Commtsston members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s Signature L. IAS}_Date <br />Applicant must have all submihals into the City offices «<lays before the Placing Conumsbon <br />?o have an am« abend in your place and to advise Ute Building & Zoning Office of <br />this change prior to the meeting. <br />8