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REQUIRED SUBMITTALS <br /> 1. x 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. X 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. )C Topographic survey (existing and proposed contours) if land alterations involve <br /> changes in elevation (grades). <br /> 7. s •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 application. <br /> YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br /> FOR REPRODUCTION (1.1" 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 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 <br /> information supplied is true and correct to the best of his/her knowledge. <br /> Applicant's signature f..•• <br /> Date ---`2 <br /> ---`2� <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 members, <br /> and Council members for purposes of investigation and verification of this request. <br /> • <br /> Owner's signature ,•• • Date 5— / 5 — g <br /> Applicant must have mittals into the ity 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 /> all 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 rior to the meeting. <br /> 7 <br />