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REQUIRED SUFtMITTALS 1. Compl.eted 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 inforrr�ation. 5. Attach. legal description to application if not included on required survey. 6. Topographic survey (existing and proposed contours) if land alterations involve chan�f:s in elevation (grades). 7. List oP the legal names (include marital status) of all persons with an interest in the prc�perty. This would include name(s) of applicant(s) if not current owner(s). 8. Constiuction plan, if applicable (see staff for requirements). 9. As an addendum to this application, please attach a separate list of any other person.s you wish notified of this application. XOU ARE REQITIl2ED TO S�JPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODIJCTION (il" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be submitted.) The Applicant an�� Property Owner must si�n this application. Please remember that your application is not complete if the above information has not been included. Certification by C.lerical Department that Land Use Application is complete. Initials of Clerical Staff: Date APPLICAl�r'f'S �iI(iN�TU12E The applicant hereby agrees ta provide all information required or requested by the Zoning Administrator, a?rees to pay additional fees (staff time not covered by original fee payment) and/or unusual e�xpenses incurred in review of this application, and certifies that the information suppl ied is true and conect to the best of his/her kno�vled�e. Applicant's signatt�re Date O`VNER'S SIGNATURE The owner heret�y acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council rnembers for purposes of investigation and verification of this request. Owner's signature Date Applicant must have all submittals into the City offices 2� days before the Plannin� Commission Meetin�. Planning Commissio�l Meetin�s are held on the third Monday of each month. Applicants must be present at all scheduled review meetin�s of the Plannin� Commission and Council. If an applicant is unable to attend a scheduled meetin�, please make arran�ements to have an authorized a�ent attend in your place and advise the Buildin� & Zonin� Office of this chan�e prior to the meetin�. 7