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REQUIRED SUBMITTALS <br />1 . __Completed Application Form. <br />Oooor ibo request iirdetail.2. <br />3. <br />5. <br />6. <br />7. <br />8. <br />9. <br />^__Certified Property Owners List of owners within 350' of the subject property. <br />labels and plat map. List, labels and map may be obtained from Hennepin <br />County Department of Finance. Government Center. A-603 300 South e*” <br />Street. Minneapolis, telephone 612-348-5910). <br />___Certificate of Survey (signed by a licensed surveyor) - refer to handout for <br />survey information. <br />___Attach legal description to application if not included on required su.’'/ey. <br />Topogr ap hie-eurvey (existing- and - proposed-contours)-if-Jand —alteraiiops <br />involve changes' in elevalfOf>-(§fades). <br />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 <br />owner(s) <br />^ Construction plan, if applicable (see staff for requirements) <br />y//7 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 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (II** X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be <br />submitted.) <br />The ApF licant 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 <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 that <br />the information supplied is true and correct to the best of his/her knowledge. <br />/73. ..0/)^r> <br />Date <^H <br />/ <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 members for purposes of investigation and verification of this <br />request. <br />y Owner's signature 12.Date i - 'OH <br />Applicant must have all subTtWtais Irito ihejCity 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 <br />at all scheduled review meetings of the Planning Commission and Council 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 prior to the meeting <br />f ? <br />07' V.* ; <br />»/ <br />/ <br />• .* <br />V r..• •»*!*