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REQUII2ED SUBNIIITALS 1. Completed Application Form. 2. Describe request in detail. 3. Certified Property Owners List of owners within 350', labels and plat map (you must obtain this list, labels and map from Hennepin County Department of Finance, A-603, Government Center, 348-3271). 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. . 5. A�tach :;,��.: �zscription to application if not included on requireu survey. 6. Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). ; 7. List of the legal names (include marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). 8. Construction plan, if applicable (see staff for requirements). 9. As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. YOU ARE REQUIItED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY , FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS � SUBMITTED. (Staff will require to scale drawings of .all documents, plans, etc. to be submitted.) i The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Lutials of Clerical Staff: Date 1 APPLICANT'S SIGNATiJRE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) � and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the best of his/her knowledge. Applicant's signature Date � OWNER'S SIGNATURE � The owner hereby acknowledges and agees to this application and further authorized � reasonable entry onto the property by City sta� consultants, agents, commission members, and , Council members for purposes of investigation and verification of this request. Owne�'s signature Date � Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the third Monday of each month Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the Building 8c Zoning Off ce of this change prior to the meeting. • 6