06-13-2005 Council Packet - Laserfiche WebLink

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if REQUIRED SUBMITTALS 1. Completed Application Form. ____Describe request in detail.2. 3. 5. 6. 8. 9. Certified Property Owners List of owners within 350' of the subject property, labels and plat map. List, labels and map may be obtained from Hennepin County Department of Finance, Government Center, A-603 300 South 6*^ ^ Street, Minneapolis, telephone 612-348-5910). V Certifi^te of Survey (signed by a licensed surveyor) - refer to harntout for survey information. ___Attach iegai description to application if not included on required survey. Topographic sun/ey (existing and proposed contours) if land alterations . in>rolve changes in elevation (grades). v< Listof the legal names (include marital status) of all persons with an interest in 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. YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR REPRODUCTION (11" X 17" 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 Cleric-al Department that Land Use Application is complete. Initials of Clerical Staff:_________________________Date APPLICANTS SIGNATURE The applicant hereby agrees to provide ail information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true^d corre<^ the best of his/her knowledge. ^ —'___________DateApplicanf 8 signature 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 members for purposes of investigation and verification of this request. » Owner's signature _ __ _ Applicant must have air submittals into ifie City oflkM days before the Planning Commission Meeting. Date Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the Bulking & Zoning Office oMhis change pria to the meeting. •.t. I