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I?;/ <br />■5' <br />t-r :•r •: <br />required submittals <br />nf th# folWry informatio n ^ submitted bv the apBlic:|^QH.d?^4Kqy da<^ in pcdgr <br />fnr vour aDDligfltion to consIdCTtll CQinpIctCt <br />y Comoleted Application Form <br />~7cMificd Proocrty Owners List of owners within 150 ’ (you must obtain this list from <br />Hennepin County Department of Finance, A-603, Govt Center, 348-3271). <br />^ SSSs L required. In addition, provide one (1) copy x 11' for <br />survey (existing and proposed elevations) if any ctoges to existing grade <br />d> <br />o„‘(Ocopy 8.- X ir. <br />'^5^'»ddendum*™this appiication. please attach 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 Aooiicant and Property Owner must sign this application. Please rraer^ tot jaail <br />nnuiicatim- i«romoiete if the nhovt infotmaHon hm noi tiwn Iiwlmteil^ <br />information supplied is true and correct to the best of his/her knowledge. <br />members for purposes of investigation and venficatjon of this reques . <br />Owner’s Signature Date <br />Applicant must have ail subnuttals irao the City oftos 2J d^s b^n ** MCh^ottS! <br />Meeting. Planning Commission M«^s are ^ Planning Commission <br />to have an authorized agem attend in your piace and to advise the Buildmg & zoning <br />this change prior to the meeting. <br />8