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REQUIRED SUBMITTALS • <br /> 1. _� Completed Application Form. <br /> 2. _�_ Describe request in detail. <br /> 3. ./ Certified Property Owners List of owners within 350', labels and plat map (you <br /> must obtain this list, labels and map from Hennepin County Department of <br /> Finance, A-603, Government Center, 348-3271). <br /> 4. ✓ Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br /> information. <br /> 5. ✓ Attach legal description to application if not included on required survey. <br /> 6. i Topographic survey (existing and proposed contours) if land alterations involve <br /> changes in elevation (grades). � <br /> 7. ✓ List of the legal names (include marital status) of all persons with an interest in <br /> the property. This would include name(s) of applicant(s) if not current owner(s). <br /> 8. ,� Construction plan, if applicable (see staff for requirements). <br /> 9. As an addendum to this application, please attach a separate list of any other <br /> persons you wish notified of this appiication. <br /> YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br /> FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS <br /> SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br /> submitted.) <br /> The Applicant and Property Owner must sign this application. Please remember that your <br /> application is not complete if the above information has not been included. <br /> Certification by Clerical Department that Land Use Application is complete. <br /> Initials of Clerical Staff: Date <br /> APPLICANT'S SIGN�TURE <br /> The applicant hereby agrees to provide all information required or requested by the Zoning <br /> Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br /> and/or unusual expenses ' curred in review of this application, and certifies that the <br /> information supplied is d orrect to e best of hi er knowledge. <br /> Applicant's signature ..___��'. --- Date l0 "��`�� <br /> OWNER'S SIGNA URE <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry onto the property by City staff, consultants, agents, commission members, <br /> and Council members p s of inve 'gation and v 'fication of this request. <br /> Owner's signature � � Date — d� _ <br /> (rl,( �cs+/ ceT — C4 !P 9,6 <br /> Applicant must have all submittals into the Ciry offices 25 days before the Planning Commission Meeting. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at <br /> atl scheduled review meetings of the Plannin� Commission and Council. If an applicant is unable to attend a <br /> � scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the <br /> Building & Zonin� O�ce of this change prior to the meeting. <br /> � <br /> 7 <br />