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• <br /> REQUIRED SUBMITTALS <br /> 1. ompleted Application Form. <br /> 2. ✓/Describe request in detail. _ <br /> 3. Certified Property Owners List of owners withi 350', labels and plat ma <br /> must obtain this list, labels and map from Hennein _County Department of Fn an e, <br /> 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. • 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 the <br /> °perty. This would include name(s) of applicant(s) if not current owner(s). <br /> 8. Construction plan, if applicable (see staff for re uiree <br /> ). <br /> 9. As an addendum to this application, please attachas separate list of any other <br /> • persons you wish notified of this application. <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 he <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: <br /> Date <br /> APPLICANT'S SIGNATURE <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 incurred in review of this application, and certifies that the information <br /> supplied is true and correct to the best of his/her knowledge. <br /> Applicant's signature / / �, <br /> Date `��)463 <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized reasonable <br /> entry onto the property by City staff, consultants, agents, commission members, and Council <br /> members for purposes of i. 'estigatio. and verifica of this request. <br /> Owner's signature <br /> (AA/PrArr. Date <br /> Applicant must have all sub .ttals into the City offices 25 days before the Planning Commission Meetins. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all <br /> scheduled review meetings of the Planning 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 & Zoning Office of this change prior to the meeting. <br /> • <br /> 6 <br />