06-27-2005 Council Packet - Laserfiche WebLink

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ir REQUIRED SUBMITTALS 1. 2. 3. 4. , 5. 6. r 7. 8. 9. _ * Completed Application Form. Describe request in detail. Certified Pi^rty Owners List of owners within 350', labels and plat map (>x>u must obtain this list, labels and map fiom Hennepin County Department of Finance A-603, Government Center, 348-3271). Certificate of Survey (signed by a licensed surveyor) - refer to handout for surv ey 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^ ^ ' List of the legal namra (include marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current o\\ ner(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 30 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application. Please remember that >-our apphcation 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:_____________________ APPLICANT'S SIGNATURE applicant hereby agrees to provide all information required or requested by the Zoning Adrnuustrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual exj^es meurred in review of this application, and certifies that the infonnation supplied IS true and correct to the best of his/her ^knowledge. )hn.t. I/-05-Applicant's signatui^^ OWNER'S SIGNA’ The owner hereby acknt^ledga and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members for puiposes of investigation and verification of this request. Owner's signature Date ApplK.ni must have .11 submitttb laio the City offices 25 days before the PUnning Commission Meedna tTiL ^ ^ teW on the third Monday of each month. AppUc.nO must be prrsenraT aU "T . ““ ConrtuiM mi Council, If u is u-bl. . ,^IU«. iu h.« „ ,p„, .M„dL you, pbcc Ond ItSTiteBuildiflf A Zoning Office of this ebange prior to the meeting. / f aovue me .. : • • i* * ’ •** V . t - A'"CjI'fR J