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REQU]SUBMITTALS <br />1. <br />2. <br />4. <br />of thefnllowing information must be submitted bv th? deadline daf(^ Iq ordg: <br />for votir annlication to b€ consiftprgd complete; <br />~ C°“Sd 0f0OT.er5 within ISO’ (you must obuinte list from <br />' Hennepin Councy Department of Finance, A*60 j . Govt Center, 8o-71). <br />Plat Mao (obtained wiuh prcpertv’owners list). v <br />— Certiftcnto of .ur.oy (stgned by a " <br />----calculations as required. In addition, provide one (1) copy S.. x 11 for <br />S’p'^mphic 'survev (extsting and proposed elevations) if any changes inexistmg grade <br />are'^prcposed. In addition, provide one (1) copy 31a x " <br />Sketches or plans of floor & elevation views (provide one (1) copy S A <br />— List of the leaal names (include mantal stanisl of all persons with an interest in the <br />----oropenv' This would include name(s) of applicanus) if not current owneris). <br />_ KTddendum to this application, please auach a separate list ot any other persons <br />you wish notified of this application. <br />Additional items as may be requested by Citv’ staff. <br />5. <br />6. _ <br />7. <br />8- _ <br />9. <br />The Applicant and Propertv Owner must sign this application. Please remember *al vou£ <br />annMrn..nn is nm complete if .he above informa.ion.h^n^ienjIuMsdU <br />The'*taol^^ berebv^a^Ss*^ provide all infoniiation required or requested by the Zomng <br />IdL^uam aererto pav add^itionai fees (staff tune not covered by original fee payment) <br />" or^ulml expenses'incurred in review of tWs applicatio.i and certifies mat the <br />information supplied is true and correct to the best of his/her knowledge. <br />.'IP <br />Applicant’s Signamr^Date <br />The ow^r hereby acknowledges and agrees to this application and further aulhorues reasonable <br />entry onto the propertv bv City staff, consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s Signarurq.^</^^ry^Date OX/,a sro. <br />- - ---------------- ^r- ^ <br />m taveTn autho^ h. your place and to advise the Building & Zoning Off.ee of <br />this change prior to the meeting. <br />8