Laserfiche WebLink
REQUIRED SUB>nTTALS <br />1. <br />2. <br />3. <br />Completed Application Form. <br />Describe request in detail. <br />Certified Property Owners List of owners within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of Finance <br />4. <br />✓ A-603, Government Center, 348-3271). <br />Certificate of Survey (signed by a licensed sun^eyor) - refer to handout for survey <br />5. <br />6. <br />information. <br />Attach legal description to application if not included on reguired—suonev. <br />.Afei Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />List of the legal names (include marital status) of all persons with an interest in the <br />8, <br />9, <br />----------- ^ ---------------------------------/ vYiiu Oil UUCIC <br />/ property. This would include name(s) of applicant(s) if not current owner(s). <br />— Construction plan, if applicable (sec staff for requirements). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />submitted.) » r » <br />The Applicmt and P'opeity Owner must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use Application is complete <br />Initials of Clerical Staff: _______________________ Da{g <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zonine <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or musual expenses meurred in review of this application, and cettifics that the information <br />supplied IS true and concct to the best of his/her knowledge. <br />—Sate <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultanu, agents, commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's signature Date jiinA <br />App'ic.a.__n.u.' have all .ubniitUls into the Cij- offices Z5 day, before the flennin, Cemn«..i<„ <br />Meetings m held on the third Monday of each month. Applicants must be present at all <br />Ichid ulJ "'"r ““i***”** ** ComnuMion and Council. If an a^Iicant is unable *^to attend 1 <br />#2977