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2. <br />3. <br />REQUIRED SUBMITTALS <br />1 Completed Application Form. <br />™ U3t of owners w.thin 350'. labels and plat ^ Cvou <br />must obtain to to. labels and map from Hennepm County Departmem of Fmanc . <br />^eSnrof surveyor) - refer to handout for survey <br />sr:s5. <br />6. <br />7. <br />8. <br />9. <br />Attach legal description tc application u noi ^ ^ • i^^^lve <br />■Topographic survey (existing and proposed contours) if land <br />■changes in elevation (grades).npr.;ons with an interest in the <br />-s=:”i.« <br />you wish notified of this application. <br />YOU ARE REQUIRED TO SUT^V 30 POR^J^L^^DOCU^ <br />t‘’scardra^ro™ doeuments, plans, etc. to be <br />submitted.) <br />“ s“s. Si— “ - <br />Certif,cation by Clerical Department that Utnd Use Appl.ca.ion is complete. <br />Initials of Clerical Suff:---------------------------------------- <br />r", .”Sr - »;i-"■ £”■ <br />supplied is true and correct to the best of hts/her knowledg . <br />Applicant ’s signature <br />rinrg ^ ^ H '• Q 5^_ <br />p^;l THe <br />OWNER’S SIGNATURE application and further authorized reasonable <br />The owner hereby "consultants, asents, commission members, and Council <br />Owner’s signamre <br />Date <br />Applicant must have all tubmitos .«o “app'o^*m^’prTscn “l‘dl scheduled <br />Commission Meetings .ire held on ®‘ ^ council. If an applicant is unable to attend a scheduled <br />o/this change prior to the meetmg.