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61/6Zf2002 05: 46 7634415975 � USED MACHTNERV SALES PAGE 03 ,
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<br /> i�QtJr1��D susM177A4S � � � . ` .� :A,�`4 � '. �i, .
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<br /> �. camp(�fed ppptfc&tion:� `� ; . �.�,,; : .;�
<br /> _�___ Describe request 1n dst�i.l,�,� . ������� . i.
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<br /> C�st{�ied Arop�tljr O�,►�r�s ti�tfof wv�rs wiittlin�fl��of the su�ject �roper4y� I�beis and plat
<br /> � map, t,fst, Iab�Is ar�d rn�p may be obtained from�Henneain County Depattment o�Finance,
<br /> Gou�rnm�nt Center, C�603 300 South 6�'Street,Minnespotls,Xetephone 612-348.Sg1 py,
<br /> 4• Certi�cate of Suroey{s�gn�d by e��cen�d surveyar3-refer to handou!for sunr�y informallon.
<br /> 5. _ A�ach iegal dascr;pt�oR tQ��pplic�tbn ff rtot includet!an re.c�e�ired survey-
<br /> �. Topographic sun►by(axisting �nd propos$d contcuts) if larzd aitera6an� ir�vofve changes In
<br /> eEeyatfon(g�des). .
<br /> �. List af the Iegaf n�m�s(inciude marlt�l st�t�ts)oF�li perso�is with ar�Zntgrest in th�pro�erty,
<br /> "fhis wnuld includs n�me(s)oE�pplicant{s)if not current owr,er(sj.
<br /> 8. Construr.�on pf�r�, �f applic,�bl�(see st�ff�Or requfremer�ts}.
<br /> 9. As an�dderxlum ta th�s appfice�lon,pl�as�sit�ch a separate 64st aFany ather pet�oris y,ou wish
<br /> . r�ot�fled a�fhts applicatiort, .
<br /> YoU ARE REQUlRED TQ BUPPL�'S �CO�RES Q��GE dl7CUM�I�TS qpiD� c�F�FDR
<br /> REPltOAl1C'F'10N t14"X 97"OR SMAi.l.�1�)Fl7R Ai.L DQCUMENTS SU��iIITTEa. (St�fF will r�quire
<br /> sr,�led drawir�gs af�!I doCuments, plans, �fo;�#o 6e aukrmitted.) : . ? �! :
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<br /> Th�Applicant and Property Q�nm�r m�sf.sig�.this epp{lcatiup. Ple��re�ter�t�r ti�at yaur app(icatian is not
<br /> canplebe ff#hQ abflve inform�ti�n h,ss nut b�en lnGude+x:'� ' ;�i'� ; �
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<br /> APPLICAN'C'S 5[G�VATURE �• ' . � . , .
<br /> The applio�ant hereby�gr,aes t� proW�dg�p ���Q�R�quired or requ�sted hy the Zaning Administrator,
<br /> ��to R�Y�ddfPional feeg (si�i'f time not co„er� py Q�i�t fee payment) anci/ot unueual expenses
<br /> incumad 9n review ofthis appflca�an,ar�c�rt�esk}�afi ii��int�rmatinn sapAli��i�truQ.and correctfo the bast
<br /> of his/her�ouvlodge. .
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<br /> Appfl�,nt's signa�ture : � �D�te_��'� �
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<br /> OWNER'3 9p{�11lATlfR� . .
<br /> Th�ownar here�y eckrxzwledges attd�gree�t�'.mis�pppcatton artd fi.rrther authQriz�ri3asanabla entry onto
<br /> �g P�f�erty by Clty stafP, cnnsul nts, ager�ts;�commissfan me�rnbers, end Counral merr:bars for purp�es
<br /> of inY�stigatEon er�iq#i�n t requast,:. : . : � �..;� :� .
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<br /> Owner's signat►x � ' � � � ����� ,
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<br /> Appticarrt must sll submiitats ir�f��ie�ty of�25 qay�befa;�8 the Ptanning C.ammission Mee6ng.
<br /> PlannirLq Comm�ssion f1�esBngs�r�e held pn tfi�titird Mortdsy o�f eacti marith: Applicants must he present
<br /> at a!I scheduled review meetings oP tRe Pi�nc�irLq Commissfnn and Courtcf1, lf ah �ppltcant is unabte to
<br /> attend a sc�edulra�,(meeHs�g, ��a��ry�aic�.arrang�m�ts ta trave an a+�tho�zed agent attend in your pf�t;e
<br /> and advise the Bufldlrtg��onir�g Qf�rce�nf�tis chainge pr�ar to th�meeting..
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<br /> ThJs is an intarmalion shaet.�very e�rt ha�Bee,n msde b ms{�ftre accx�racy o€it�e;infwms�on Cp�(�/ne0 her�lrr;
<br /> h.qvu�ver, !f anylnTnmra�an/�no!cansisterrt vvlfh provisior►s c,tfth�City Coda,,�he Cod�Provisfons wili prevaFl,
<br /> GUP and Other LanU ltga Aaplicatfals • ' !
<br /> Last U�ated; Movem6er 3Q,2D09 ' � • ' • ' � . �;
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