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r![\4. <br />5. <br />6. <br />7. <br />REQUIRED SUBMITTALS <br />1. Y- Completed Application Form <br />2. Ooooribo request in detail. <br />3. iC 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 Kenne}^ m <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 suivey. <br />—Tepe§r ophio ourvoy ■ (eristing -and proposed-contours)~if-Jand aiteratlojis <br />involve dianyeb in ele'/atien-^rades). <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 />8. ^ Construction plan, if applicable (see staff for reouirements) <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 3 COPIES OF LARGu DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (II " X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (S»aff will require scaled drawings of all documents, plans, etc to be <br />submilteci) <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 Cleric Department that Land Use Application is complete. <br />Initials of Clerical Staff. Date <br />I <br />/\ <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 />Apolicant’s signature .. C'Date i 2.- V"t OM <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 tor purposes of investigation and verification of this <br />request. <br />V Owner’s signature Date i - " *<rjW <br />Applicant must have all subTfmtals intd IheiCity offices 25 days before the Plann ng Commission Meeting <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present <br />at ait scheduled review meetings of the Planning Commission and Counal. 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 />t <br /># /• <br />V : <br />• I <br />r : * • <br />r.. <br />• I ' <br />t