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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 withi�350' of the subject property, <br /> Iabels and plat map. List, labe(s and map may'b�e obtained from Hennepin <br /> County Department of Finance, Government Center, A-603 300 South 6tn <br /> Street, Minneapolis, telephone 612_348-5910 . <br /> 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout for <br /> � survey information. Z w��S���� ��}�(�PS � � �GG�UC(��i Id yl�l � <br /> 5. Attach legal description to application if not included on required survey. <br /> 6. Topographic survey (existing and propased contours) if land alterations <br /> involve changes in elevation (grades). (I'1�ICG���l�'�e�'�J��(��� G{-(��`�(��'��`; �� ��l-�`"�;�� <br /> ,��;.��f�t�, <br /> 7. .List of the legal names (include marital status) of all persons with an interest in a g <br /> the property. This would include name(s) of applicant(s) �if not current <br /> owner(s)_ <br /> 8. Construction plan, if applicable (see staff foC requirements). <br /> 9. As an addendum to this application, please attach a separate list of any other <br /> persons you wish notified of this application. <br /> YOU ARE REQUfRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br /> FOR REPRODUCTION (�1" X 17" OR SMALLER) FOR ALL DOCUMENTS <br /> �UBMITTED. (Staff wili require scaled drawings of all documents, plans, etc. to be <br /> submitted.) <br /> The Applicant and Property Owner must sign this application. Please remember that <br /> your 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 SIGNATURE <br /> The applicant hereby agrees to provide all information required or requested by the <br /> Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee <br /> payment) and/or unusual expenses incurred in review of this application, and certifies <br /> that the in�formation supplied is rue and cor�ect to the best of his/her �nowledge. <br /> ' 0� <br /> A licant's signature � � ✓ ��.� Date �''G2� <br /> PP <br /> OWNER'S SIGNATURE <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 <br /> members, and Council mernbers for purposes of investigation and verification of this <br /> request. <br /> Owner's signature ,r� � ��� Date - 22--�� <br /> Applicant must.have all submi � into the ity o ices 25 days before the Planning Commission Meeting. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present <br /> at all scheduled review meetings of the Planning Commission and Couricil, If an applicant is unable to <br /> attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place <br /> and advise the Building & Zoning Office of this change pnor to the meeting „\. . . <br /> ,�i { � <br /> �� / f �� �-, ��� ,, . <br /> C;: , . � . <br /> � y �r i.. <br /> 1� Y . 1 <br /> 6 �,-,. , � ;, , "r �U ,:; <br /> , ,;�( (.:,� ���:�. .r .,_.� � -r°r <br /> .�,. � , _ .... ' <br />