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m <br />/. A , y A <br />. j <br />.*• <br />’0- * <br />1. <br />2. <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />An .r ,H. fnll^n. inf.,^«inn must b« suhmittf^l ^v tM Wpli<;i^«i°n jfadlint date jg wto <br />for vour aDpHcation to considfred <;onipl^t,61 <br />— List of owners within 150 ’ (you must oburn ^s list from <br />Hennepin County Department of Finance. A-603. Govt Center. 348-32 1).-ss'"r£4 “<ss'»Tt;s. ^ ~ ~ <br />----calculations as required. In addition, provide one (1) copy 8 A X 11 <br />?o^t^c survey (existing and proposed elevations) if any changes in existing grade <br />-^'^^^.Tlddition. provide one (1) copy S-A* x <br />Sketches or plans of floor & elevation views (provide one (1) copy 8 ' | )• <br />— Ust of flie legal names (include manul sums) of all persons with an mteresi m the <br />----oropeny This would include name(s) of applicant(s) if not cutient ownet(s). <br />L L^dendum to this application, please aiuch 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 AonUcant and Property Owner must sign this application. Plea.se remember that yom <br />enmnlete if the above information has .not been indudeiL <br />TS terebv^«r^*ro provide all information required or requested by the Zomng <br />information supplied is true and correct to the tast of tosflier knowledge. <br />j /f. J n A. II <br />5. <br />6. <br />7. <br />8. <br />9. <br />Applicant’s Signature <br />S^ner^errty teto^edges and agrees to this application and further <br />onto the property by City suff. consulunts. agents Commission members, and Council <br />Sbers for purposes of investigation and venfication of this request. <br />y Date <br />uaie___________Owner’s Signature--------------------------------------------------------------------------- <br />rsr Tsr; io—c te^mg^rt'drt^: s ^ ^ <br />this change prior to the meeting. <br />8