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-dip" . <br />REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />T <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <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 6**’ <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 survey. <br />Topographic survey (existing and proposed contours) if land alterations <br />involve changes in elevation (grades). <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 />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 (11'* X17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will 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 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 />^ APPLICANTS SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by ttie <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 <br />that the information supplied is true and correct to the best of his/her knowledge. <br />Applicant's signature Date CZ/ZS/^ <br />y OWNER'S SIGNATI <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 />Owner's signature <br />be City offio <br />Date ^ • ^5 <br />Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. <br />Planning Commission Meeting are held on the third Monday of each month. Applicants must be present <br />at all sdwdulad 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 />J l' .. <br />44- V. <br />#• <br />o i>;*.V <br />1 <br />. <br />1