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1. <br />2. <br />3. <br />5. <br />6. <br />7. <br />8. <br />9. <br />REQUIRED SUBMITTALS <br />Compteted Application Form. <br />____Ddtcflbolequeot In detail. <br />Certified Properly Owners List of owners wilhir* 35(7 of the suojcct property, <br />lebele ernl pint map. List, labels and map may bo obtained from Hennepin <br />County Department of Finance, Govenwnenl (Center. A-603 300 South 6 <br />Street. Minrwapolis, telophooe 612-348-5Q10). <br />____Certificate of Survey (signed by a licensed eurveyoO - mfer to handout for <br />survey information. <br />Attach legal description to application if not included on required survey <br />Topographic survey (existing and proposed contours) if land ailerations <br />involva changes in atevation (grades). <br />____.Uat of the legal names (include marital status) of aH persons with an interest in <br />the property. This would include name(s) of applic8nt(s) if nol current <br />owner(s). <br />____Construction plan, if applicable (see staff for requirements). <br />____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 3 COPES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (It” X17** OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff wM 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 U the above biformation has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:_________________________^Date______________ <br />APPUCANTS SIGNATURE <br />The applicant her^y agrees to provide ail friformation required or requested by the <br />Zoning Administrator, agrees to pay additional ffaos (staff lime not covered by original fee <br />payment) andlor unusual expenses IrKurred in review of this appIcaUon. and certifies <br />(hat the information supplied is true and coned to the best of his/lwr knowledge. <br />Applicant's signature Date <br />yC OWNER'S SIGNATURE <br />The owner hereby acknowiedoes and agrees to this application and further authorized <br />reasonable entry onto the property by CHy staff, conaultanb. agents, commission <br />membars, and CouncU members for purposes of investigation and verification of this <br />request <br />Date y'f) <br />hgCeinmMsion MnOngi <br />Owner's signature <br />AppncsrX must heMartiuhaiBdsNeTReC% offices 2S days bshmewFiannim Ccmmssion <br />pisnninpcofiNiiiMionMeeiingssrsnaUonthoNRiMoniloyoreodiinonm. Apsiewm must tie prmehi <br />at all sdwduM review meeSnoa of tio Placing CammiMlon and council. If an eppficent a unablo to <br />allarai a MlwSutod meetirHi. pIsBM make arrangomems to have an suawrtMd egant attcrvi in four place <br />end advlM the Buildtog ft Zoning once or Hus cher^e prior is the mtoiing <br />rnm. p.a*?