07-25-2005 Council Packet - Laserfiche WebLink

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REQUIRED SUBMITTALS 1. .^^€omoleted Application Form, 2. “ 3. Describe request in detail. 4. 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). 5. 6. 7. Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. 4^ Attach legal description to application if not included on required survey. _i^Topographic survey (existing and proposed contours) if land alterations inwive changes in elevation (grades). 8. 9. List of 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 cunent own^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 ir OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be submittad.) 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 Staffi _______________________Date________ APPUCANTS SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/br unusual expenses incurred in review of this application, and certifies that the information supplied is true agcLoorrect to the best of his/her knowledge. Applicanfs signature Pate^gbJWsiPg OWfNER*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 Counck members for purposes of investigation and verification of this request. Owner's signature Applcwil mutt have al PlM^nino ConvniMion MMNnoa Date^ Ic5 lino Convniuwn ^25 days before the Planning ComfnissiSn Meeting, third Monday of each month. Applicants must be present Commission and Council. If an applic ant it unable to and advise ttie BuihSng a zoning OfRoe of this change prior to the meeting. o tn:* HI Q A