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2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />required submittals <br />I X _ Completed Application Form <br />Snilkd ftep^y^ners Ust of owners within 350' Oou esn^in J,"'” <br />Hennepin County Depanmem of Finance. A-603. Govemmenl Center. 348-3271). <br />Cenm^te of Survey (signed by a licensed surveyor) - refer to handout for suney <br />C) Attach legal description to application if not included on tequt^ survey. <br />37~ Topographic survey (esisting and proposed contours) if land alterattons tnvolve <br />J UsTS’th^ tegartl^'ita^lide mariul satus) of all persons with an interest in the <br />----- property Tto would include ttame(s) of appltcattt(s) tf not current owttet(s). <br />/ Constnjction plan, if applicable (see staff for requtretnents). <br />------ As an dddendrm to this application, please attach a separate Itst of any other persons <br />■ you wish notified of this application. <br />SUBMITTED. (Staff will require to scale drawmgs of all documents, plans, etc. to <br />submitted.) <br />The Applicant and Property Owner ntust sign this applicati^. Pl^e remember that your <br />ipI^licaLn is not complete if the above infotmatton has not been tncluded. <br />Cettiftcation ay Clerical Department that Utnd Use Appli^tion is complete. <br />Initials of Clerical Suff;__________________________------------------------------- “ <br />supplied is true and correct to the best of his/her knowledge. <br />Date z ^ <br />Applicant’s signamre _ <br />members for purposes of investigation and vertneatton of thts request. ^ ^ . <br />Date ^ 5 <br />Owner’s signature jr Y/X ----------------------- ^ <br />Applicant must have all submittals into the *AppSts* m^Tbi present at afl scheduled <br />Commission Meetings are held on the third Mon applicant is unable to attend a scheduled meeting. <br />;'r r ■” ‘ <br />of this change prior lo ihc mcciing.