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r <br />c <br />'Ll* <br />- ■•'•’'I..If .-i O’ <br />s.'i <br />\ <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />S. <br />9. <br />required submittals <br />J ____Completed Application Form. <br />-----Usl of ov«c« within 350 ’, latels and plat Mp (you <br />— list, laws map from Hcnnapin County Depamncnt of <br />Finance. A-603. Govcmment Center. 3CW^). <br />___Cettificate oT Survey (signed by a licensed surveyor) <br />—L"T££:'»i» .r <br />persons you wish notified of this application. <br />YOU ARE required TO “ “R^MALL^^r FOR <br />" <br />submitted.) <br />1 • tw:« •srsr.iicjiiion Please remember lliat ycur <br />Certification by Clerical Depanmen. that Und Use Appliwion is complete. <br />Initials of Clerical SlafF.^^--------■ - —----—^ <br />APPLICANT'S SIGNATURE reoulicd or requested by the Zoning <br />The applicant hereby agrees to provide all not^covered by^originul fee payment) <br />Aoolicanl's signature -—ZZZf r lc ^^ Tom Dillon/ Orono Development/ DLC <br />OWNER’S SIGNATURE application and furtltcr aulh«ti‘-oJd <br />Vho owner hereby Ty afy's'aff consultanK, agents, commission mcohe'S. <br />irctnci,rm;"^r%V4?1 ''7 “’' <br />OvvTicr ’s sicnature <br />Dote I "V A In...— •