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requirei > submittals <br />UasM22)DSM2?^^^ <br />ppplfration TO np ^ cPHlP ’^ <br />1. <br />J. <br />4. <br />_ Completed f °™ of owners within 1J0‘ li'ou must obtain this Ii« <br />Certified Property 0^ a-603. Govt Center. 3dS-3271). -/•■ <br />" Hennepin County Department of Fi^e, <br />Plat Map (obtained with property 0 survevor) and include hardcover <br />6. <br />7. <br />8. <br />9. <br />YOU With notifted of this applicat.on. <br />Additional items as may he requested by City ■ <br />« rVijt: Plcssc rcm^®bcr tliiit ^9 VC <br />licant and Property infarmation h- P"'.„pl.oatinn is nr-T —Tir'>'e the above Wb am <br />APPLICANT'S SIGNATURE •nfnrmation required or requested by die Zoning <br />The applicant hereby agrees fws'^taff time not covered by original fee P»y““‘> <br />Administrator, agrees to pay addiw^ f ^ appUcation. and cetniies that the <br />and/or consultant expenses mwrte his/her knowledge, <br />information supplied is true and_corrtct to tb^ best or tn - <br />Applicant's Signau.ro , <br />OWNER’S SIGNATLTIE aoDlication and funiicr authorizes reasonable <br />The owner hereby ‘“=>=“<>"'''^^^*^Xnrs. agents. Commission members, and Couned <br />“Sb^wt^'o/invesogatio^and vesication of dus roquest. y <br />Owner's Signaiuro <br />Applicant must have all submittals too the <br />5;!p “S.« must b. pr.s«U a. »“ please m^ <br />and Council. If an appUcant u „ advUe the Building & Zonmg Office <br />to have an authorized agent anend m >our p <br />this change prior to the meeting. <br />7 ■7 <br />8