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Mn/DOT 8068 (4-77) <br />Municipality <br />County <br />State Project No. <br />Date <br />STATE OF MINNESOTA <br />DEPARTMENT OF TRANSPORTATION <br />AERONAUTICS DIVISION <br />APPLICATION FOR CERTIFICATE OF APPROVAL <br />TO THE ASSISTANT COMMISSIONER, AERONAUTICS: <br />The municipal council (or board) of at a regular <br />(special) meeting held on the _ day of , 19 selected <br />the following described tract of land as the site for the municipal airport, to - <br />wit: <br />1. The said council (or board), by motion duly adopted, desires and requests a <br />certificate of approval to acquire said proposed site, pursuant to the pro- <br />visions of the Aeronautics Code, Laws 1945, Chapter 303 (360.018) as amended. <br />2. The council (or board) desires and requests that the Assistant Commissioner, <br />Aeronautics (hold) (dispense with) a public hearing on this application as <br />provided by Laws 1945, Chapter 303 as amended. <br />WHEREFORE, the municipal council (or board) of desires <br />and requests that the Assistant Commissioner, Aeronautics approve this application, <br />or in case a public airport hearing is to be held, that the time and place for such <br />a hearing be set by the Assistant Commissioner, Aeronautics. <br />Municipality of <br />By <br />Title <br />Dated this <br />day of , 19 <br />