|
. ,
<br /> .�. , • ' ry
<br /> 09/16/2009 07!09 " '4062434930 �' �' � � � � FINLINCIAL;AID . ' ' PAGE 02/03
<br /> SEP. 15, 2009 3;57PM .� EDINA R�ALT.Y Wayzaia � . , . . � N0, 6263 P, 3
<br /> ;
<br /> �� . . � � �
<br /> � . . : , � � . � , - . . - r._.�..._.
<br /> . : . � . . . ,
<br /> • ; � � ; � , !• . ' � .� � � ' . .� .� : �' . � � . • r '. .
<br /> � � .��QUt�.r�o.su�an�iu.,s.�' , . . ' ..; . - ' ; • . ; . . r� : . : .
<br /> • , �RII ot ihe',foltoovulr� IntoimaEfan�iriust ` ' '�' '� ��" '•� . . . � , �' • " ., • . � .
<br /> �plitafidri�to be�roce�setl. . ��•9u'6fii�.�d,bi�i;the.applfc�bon dea�llip@•tlate.lri.d'rclet for_�+QUr ' . .
<br /> , , �•i, . .� . +' ,: ';' ••�. '�. ; ;, .' _• .. ; , • , '
<br /> ' �� Q Cf'OW I88�1'1B1't�$ Ited� • , , . _. .'
<br /> � ' 0 • P 'lication F,orm � �. . , . . ,
<br /> Q � � :Q•• Har.d�hi �.rm�, ��,• ,: ;� . . . '
<br /> 1�'� ISUCV Rt88� %�1. fj[I'ka� I'1�9 �OMfi Gh 'S '$ ' .
<br /> .
<br /> Q � ` •Ci ' � ardc�ver aalai��tidn s ,: .. • • .. . . . � • .
<br /> .Q � � �I � We�ai�i DeGne�fion' ' • �. . • . . , .
<br /> � , � ❑ �. B+�r'Im 1�ment Pt��n • ' �� • •
<br /> AP ' C i . ANDIdR + ER: . • ', .. , � ��,. ,� , . '
<br /> • . •• Agr�e'm pm+ride a�infbltr�ahon "requlred'ar requ�tec�by the P�edning t�epsrfment, •• : � �
<br /> . � . A9rme to pay�ddl�onal feea(s�ff bme not,00i�ar�d tn t�e aigiri�l t�paymeM)�nd/or�r�sui�ant e�cper�es
<br /> � • . inotirred Pn rovEeu'v bPthls applkatian,and� J . .
<br /> •. Ce!i(�r th�tt th�informatbn suppl(ed is 4t�e'and b�q�e(�esf cf hielt►er c+�Me�� a, •
<br /> x
<br /> .,o�'�eoo �ix9. at th �re.sole �b� , lct�.��fe g, 'f'�fe app4aant.ant!
<br /> � t�. mY . h�4'�Aorts)bl"��Pnrsiuhriil�tlna s�coqipiat�'appllca#ion b�ing�qvHar��
<br /> . ' tha� lipern�faUuro;�o do eo, tha.ataff' has no etl�,rnaEive: .9bo ,� . irt�l !t !a.oam
<br /> r�pt�tnt� �qu.�t for�leni�!af the _�.• re ect+ft�u pEet� or,to .
<br /> i w ti�e ,... . . . . . �.,. �r�q.�q�,��#rcllem��1�'I�t�iill��raei�Pt:,.-.
<br /> • • ,Acknr�+!�e'#ie'Eearbv►��i0.¢►�jtfeiitl�canipleted�n�:s 'n� .. ..��:, : ::•; ::` , �c' '. ` '• . .
<br /> � ,1��.�:��.:��: ' . .:�.,. " .
<br /> • T�18��W119f��18T� : •• . :� ;., ...-; ; :=•, .. �� • ,,,<;:?riy':':rs�� '§:� .....,-r...i''.t:::•..•; � • .
<br /> . by�eb�qi" ��e�ar�agre� � � `'n •t �. . x�:<:-�• ,;:;=°.
<br /> Y nsli)ta�ita•�,#o tht� pp�caUori�arcd`furtJ►er•at�t�wrizes��a�n�ble eniry'onb
<br /> � • the '•PropartY b enY � ��a9eiits,:..Cs�'hlt�f�:�si`i�.��C.c�iicfl i1AemAers for.puRx�es .aP
<br /> tnveaN�,getibn and v�iftcaticr��,uf Ihfs requ�s�'•; . .r ;�� �;s ,., . ..
<br /> � • APpl�cant ai�d/or�bwii�r acknoiu}edg�E'tlsey�rr�a�i be.pi�e's�n't.��:il[.�uled'r+ei�t�►+►n�e�ttrt of th��
<br /> wr
<br /> Planning Comrefa�ion and�ouncil. lf�aii�pplloant antllor ownei:I�,unsf�ie fo�Ond a sc?�eduled�tng '
<br /> p{sa9e�rfak�arr�r,�etnenis te lisve an'aufhaiaed re�res�iftative etlend�hi pk^ioe of�the appNc�nflnwr�e'rand
<br /> advlse:�ie City Pfar�teer e�signed to Xour prr,�CC, j . . . .
<br /> • �ome or e}1 of the i�f'ormaatl�an it�et you ar�e aslced ko�►rovlde�on this'e I ..'•„ ,� .�
<br /> . et#h�r' rn�te or co PP�a�ion i6 cl�sgiflsd 6y�Sta�law'ae
<br /> . n� n�denhaL Prhrat�dat�fs�rm�adcn whtch generaNy!�r�rro�t be given tc the�puBllc but i�ri
<br /> be;g(ven M the gub�t ofthe data.• Confi�an6a►dat�i's Infiorm�llon�whkh 9erJ�rallY canno�bQ�Iven to�Ither
<br /> � th�publ�a�t�9 au�bj'ect ot th�data, Ou�,Pi�tpdse�ncT intended uss ' inforrri�Yon is to'�nni.isl, u te • • .
<br /> our i�bo�ds �artd rQcords of ctl�►er govammeirtAl agdnir�ss ui"' �.•pd�
<br /> � ' iM'orrriation the �oa om m �ot ba Isaued.� . • !�q ',: � you'refu§e;fo supply the" ,
<br /> ' APPlicarrt's Sf�rtaEUt'e: • ; � � . .. �' � ,�p�t� . . .. ' : ' • .
<br /> �ptic�rn's S1gn�ture: • . ,�• • • �:r ..,; �{•� �;,;;...,� . �� . :
<br /> Own�r's�8ign��ure: � ;:: ! ��,�r�;,��>��;, `�`� �:aE�:}�:�;.;::::,�, .. �
<br /> ..�Wf19t'S.a3i�C18�iJ4'Hr: • :`° :;: i. •. ..r. i• L- ::i`:�.:' M��• ;i� ,.,:, ' � .
<br /> . ••,t' + •,•" LII��,;� .'"� � �,`;•...�,,�' �,:. ,, . .
<br /> .. . . . .. �' . . !::=•,
<br /> � � � • + ' . • : . ' ��•!J��':l?`,i�!1:�--,1"""'f`:1 �/^�I� Y . �,��
<br /> � ' . � ? .�:�:'� ��.� :L�:'.i.J��• : �.j..• . •�w�. .. .
<br /> . •' ' ,�. '•��t.�..N.rf�� • •• • .'.f.� •• ' ' , .,r.1'.�.
<br /> � ., ' • � • � � u Y�9L.,'..,i t .t , .
<br /> . l���d: W 1�/FYW . i. ' •' . • : • i .. �.4%!c: • .�f�' . • • . . •1 • •• ' • . •
<br /> � . ' , . • , j '1' • . . . • : .. � � � �
<br /> Ii . � 'J• ...•p+� °{' ,� . . • � , , �
<br /> . . ' ! �����Y��
<br /> j .
<br /> . ' . I . . I
<br /> ' ' ' �� SEP 2 � 2009
<br /> CITY OF �RnP��
<br />
|