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H <br />I <br />I <br />I n I ' X f <br />FBOtt :CONC6PT LflNUburiw <br />Icu-i rv/m^Inuc. rnjui/ii^ <br />t • — <br />REQUinED SUBMITTALS <br />____Complied Appli<ation Form. <br />County Dopartmont of Finance, Government Center, A-603 300 South 6 <br />Street Minneapolis, telephone 612-348-5910). f«r <br />4. Certificate of Survey (signed by a licensed surveyor) - refer to handout tor <br />survey Information. . <br />5 Attach legal description to application If not Included on required survey. <br />0* 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 prope^. .. This would Include name(s) of appllcant(s) if not current <br />owneits). <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.wlsh notified of this application. <br />YOU ARE REQUIRED fOIBUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION <ir X17*'OR SMALLER) FOR AU DOCUMENTS <br />SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be <br />subfhitled.) ~. <br />• • • <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 />' • . » . <br />Certification by Clerical Department.that Land Use Application is complete. <br />Initials of Clerical Staff: _____________«Date_— ------------------- <br />• % <br />7. <br />y. <br />8. <br />9. <br />APPLICANTS SIONATURE k *k <br />ThevappUqant..hereby.agreea to provide all .|nfbrmatip.n required or requested by the <br />Jpnipg Administrator, Agrees to pay additional fees (staff time not cqyer^ by original^ <br />payment) and/or unusuoi wpenses incurred in review of this application, and certifies <br />that the Information suppll^Ua4^ and corr^ t^e besUf his/her knowledge. <br />OWNER'S SIGNATURE ^ <br />Applicant's signature <br />a <br />Date shiio^ <br />OWNER’S 9IONA.I Ulte . . ^ <br />The owner hereby acknowledges and agrees to this application and further authon^ <br />reasonable entry onto the property by City staff, consultants, agents, commission <br />menabare. 9^ Comndl^ani^mbers for purpos^Tof investigation and verification of this <br />, Date 7/ <br />MDNCsnt musi nsva an nuqmmaivnHi.viB'Cily 25 days baforeihe Pianninq CofTMriissn^Maclir.8. <br />Panning Commtoaion Maatlngs^ hsid oh Iht third Monday of na^h .month. Applicants must ba present <br />at an aehedulatf revtaw maaBnga of the Planning Commisaion and Council, if an applicant is unable to <br />St^ a achadMiad .meatingf please make arrangernenta to have an authorized agent attend In your place <br />and. advise the BuHdtng ’& Zoning Qfllce of this change prior to the mseting. <br />* • • *. . * (f If <br />fpqi^est. <br />« <br />Owner's signature. _ <br />Appheant must have an <br />•, .V-'• v.'4- . M <br />ft 1 Q'.a &