05-09-2005 Council Packet - Laserfiche WebLink

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REQ^ED SUBMITTALS 1.Completed Application Form. Describe request in detail. 4. 2. Describe request in detail. ^ ^ \ 3. \/ Certified Property Owners List of owners withinf35^f the subject property, labels and plat map. List, labels and map ma^rbe^btained from Hennepin County Department of Finance, Government Center, A-603 300 South 6“* Street, Minneapolis, telephone 612-348-5910). ____Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. ____Attach legal description to application If not included on required survey. ____Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). ' r'^c( /J O' ‘ ' 'h ____. List of the legal names (include marital status) of all persons with an interest in / r a .'j.' the property. This would include name(s) of applicant(s) if not current owner(s). ____Construction plan, if applicable (see staff for requirements). ____As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. 5. 6. 7. 8. 9. YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR REPRODUCTION (11" X17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application Is complete. Initials of Clerical Staff:_______________________ Date ________ APPLICANTS SIGNATURE ; I' The applicant hereby agrees to provide ail information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered t^originai fee payment) and/or unusual expense^incurred in review of this application^ and certifies that the information supplie^ is tru|^ and cgixect to the best of his/her knowledge. Applicant's signature ‘ ^ ______Date Q ri i 1^/ ___J OWNER'S SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council memb^ for purposes of investigation and verification of this request. Owner's signature 1 /\ “ Date ^ CityApplkSmm|ist have all si)6mlhals into the City offices 25 days before the Planning Commission Meeting (/?■/.- 4on Meetir f Plann^j^^^nlysion Meetings are held on the third Monday of each month. Applicants must be present attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the Building & Zoning Office of this change prior to the meeting. •• r », V:V I 7 .*• • it rr <u) -‘.J \J %j.i.‘