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� . Ft�c�UIf�EI� SUSMIT'�'A�.�: �
<br /> AII nf th� �plkawing lnfnrmatlon must be submlfted by the appli��tidn d��dlin�r dat� in Qrd�r f�r your
<br /> appliaatian ta b�prQ�Q�sed. .
<br /> IJ Rre�Appll��fior�M�etln� �'�rr�, cQmpl��sd by a G�ty Planner.
<br /> � � CompfetQd A�pl���bn ��rm
<br /> . �[ Compl�t�d f��rdship pc�c�umentafion �orm � �
<br /> � Cartified Prvp�r�y t�wn�r� L,iat��wners wltf�in 1aq'�f Eh�.subJeGt�roper#y, I�I��l�an� piat map.
<br /> . � LisC, labol� and map mn� b� obi�(rte�1 �frpm Herinepbi County n�par�ment of �inanoe,
<br /> �overnm�r�t Center,�-�09 3bd �butfi ��h�tr�et, Minne�pqlls, tel$phone 812•3�4t�59�Q
<br /> ❑ 0�3gin�! C�rtifcat� af �urvey (si�necJ by � lic;�l�s�d suNeyor), ma�fin� all �he r�quit`errte�lts
<br /> Il�t�e[ wlfhln this pa�k�t, ir�Gl��ing hd�ioovor aalaulatlons. Also providp.on� copy�.5" x 1 i" or
<br /> �1"x 17"fdr r�pr��u�an. •
<br /> � � �l � C�mpi�t�d h�rdcov�r calcufatlon warkshaefs (as prpvid�d Wlt�'�ltt the v�rlance p�oket). •
<br /> C� Topagr�pl�ic �urvey � inoluding axi�Eirt� and pr�pnsed �levatfans, and prQpased gtading �nd �
<br /> dra(i�age. "�ar lekeshar� prop�rties th� �nfpUr� �hould be shown eXE�ndin� 5q' irtto the
<br /> �dj��ent�r�p�rt(es. Provi�e anQ cx�py$,�"�c�1"or�1"x 17�for repraduckic�n.
<br /> . C7 �k�►t�h�g ar pl�ns of�por�r�d�lavafion views (p�avld��rte r,�py s.5"x �1"Qr 1�"x 1'�").
<br />' q A�diflon�l�fem§may be r�que5fed by CIEy �t��d�p�ndfn� on tha sGap�of#h$ prQ���t. "
<br /> �,�pLf��NT'S A�f�MCDW'f��1�G�M�NTc � . .
<br /> �'h� eppllcant hare�,� agreeg to praYid� �II in�rmation requfr�d or r�qU�st�d by tt�� l�l�anning
<br /> � p�p�rtment, agr��s to �y additional fe��(aY�fF ftr�e nat cavered Cn tha orl��n�i fee paymet�t) �ndlar
<br /> canaultant expen��� inGUrred (n r�vi�w of thi�appN�ati�n �nd�r�l��s t��at t�e tnfa�matlon euppliad iB
<br /> th�1� �nd corrncE tQ the�e�t of his/her knowl�d�e, �`h� app[I�ant recvgnl�a� �ha# h�/�h� C� saYely
<br /> � r�spQns�bl�iar a�rbmtt�ln�a ac�mplet�appli��#i�►n beEn� awa�e fhaf up+�n fatiur� tr�da�o,fh�
<br /> . st�� �a� r�q �i��mative but fia re,�ectt i� untfi it 1� �am�t�t� �r t� re�Q❑nm�nd ttre �que�� iQr
<br /> d�r�(�,���Et�� raqugs�reg�rt�fa��qf�t�pa�n�f�l m�rit. .
<br /> Appllc�t�t's�Igrt�tur�: ") ,�� 1��#e, Z � U�„ .
<br /> ' �►PPllc�t�t'��l�natur�: I�kK�,- ��U��.D�, :_. Qafe; __.._..,. �
<br /> ' QH1H��['$AGKMCIWLEI��EN1�'N'1': �
<br /> `X`h� �Wngr t�ersby �cknowled�es �nd a�r��8 �� �hfs epplioatinn �nd fUrth�r ���trt�ri�es reasana�l�
<br /> �nEry onto �h� �r�parly b.y �ify �taff, cot��ul�an�s, agents, �ommias(on �& G�urioft M�mb�rs f�r
<br /> pUrpd���df it�vastigati� ��,"�d v�rlfi� ttQn o this requaat � ' '
<br /> . � .� � �. � �� ' � . �� � .
<br /> �wri�����gn�tura: �`.`"'� a�xe: I (�
<br /> C,�w��r'� Si�naiure� ... .--,.,,,.,�.,..�,-.,-r-,—�,p�+t�: 2 � � � � .
<br /> Appii��nt mu�t hav� a(I au�►Y�f#�f� lnto the Ciiy of�aes �� ��y� bgfpre tih� Pl�nning �ommisslqn
<br /> Me�tlrlg. Rl��nir�g C�mtnissl�n M�etin�a are ntirrnaliy h�ld �t� th� thit�ct Mond�y of each mor�th. �
<br /> �4ppl�a�r�#$ ttt�$t b�present�t�11��h�dul+��r�rrl�w megfln�s��tfti� Rlannin� �ornrr�is�ian.�rid
<br /> �+��n,�l(. if �n appilaank i� �rti�l�I� �ko�atfend a sa�teduled mes�ing, pleas� m�ke art�ng�m�nt� to
<br /> h�v� ,�n �►ut�l9lfz�t# r�pre5�ntatfu� �kk�1�d' fn pl�c� of the appl(v�nt �n�l advise ihc� Gity Pianner
<br /> ���i�ne�tn your Rm��ct. .
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