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0 ■) <br />rr- %a» * <br />4 i :> <br />1.. <br />w <LJi \ Ji <br />SUBDIVISION application Residential Other« explain <br />No. of Lots .3 <br />•a, <br />\!/CONDITIONAL USE AND OTHER - explain proposed use of property in detail <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planning Commission meeting) <br />■ <br />1. Application completed <br />ii^ - 2. Plat map section <br />3. Certificate of survey of property <br />sketch location and setbacks of <br />proposal <br />Construction plans, if applicable <br />5. Certified Property^ner• s list of <br />owners within€r3QQ^ (150*)- from <br />Hennepin Co. Dept, of FiMncft^ <br />*4. <br />A-603 Governmeht~~Center <br />Stamped, legal sized envelopes(#1C <br />pre-addressed to each of the names <br />on the above list. <br />DATE <br />f // <br />DATI( <br />p^cant her< <br />" " />/ Applicant's Signature A. ^\ <br />y' <br />/ f /Owner's Signature / <br />Applicant hereby agrees to provide all information required or requested by <br />the Zoning Administrator, City Engineer, City Attorney, Planning Commission <br />and Council necessary to process this application and further agrees to pay <br />all fees as established by ordinance. <br />5/78