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NOTE: The following material must be attached to this application. <br />17. A map or plat showing the property affected and ali lands <br />within 150 feet of the boundaries of the property affected <br />by proposed change. ( copies) <br />18. An abstractors certified property certificate listing the <br />names and addresses of the owners of th3 land within 150 feet <br />of the boundaries of the affected property as those names <br />appear on the records of the CountVy Auditor of Hennepin <br />County. <br />Acknowledgement and Signature: The undersigned hereby repre- <br />sents upon all of the penalties of law, for the purpose of <br />inducing the Village of Orono to take the action herein <br />requested, that all statements herein are true and that all <br />work herein mentioned will be done in accordance with the <br />ordinances of the Village of Orono and the laws of the State <br />of Minnesota. <br />7 <br />Date <br />For official ommi, s Only: <br />i <br />Signature <br />