07-12-2004 Council Packet - Laserfiche WebLink

Home Browse Search

t REQUIRED SUBMITTALS 1 Completed Application Form. 4. 2. A/A Describe request in detail. 3. J./A Certified Property Owners List of owners within 350' of the subject property. labels and plat map. List, labels and map may be obtained from Hcnnepiii County Department of Finance, Government Center, A-603 300 South 6*^ j// Minneapolis, telephone 612-348-6910). Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. —^Attach legal description to application if not included on required survey. —Topographic survey (existing and prepe sed contours) if land alterations involve changes in elevation (grades). P/Zrc'/c^'^ufr S^^/n/rrc/O /IlA.. List of the legal narnes (include marital status) of all persons with an Interest in the property. This would include name(s) of applicant(s) if not current 5. 6. 7. , ■ ■■ Construction plan, If applicable (see staff for requirements). 5 9- As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. TOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X17" 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 Clerical Department that Land Use Application is complete. Initials of Cierical Staff;^___________________________Date APPLICANT’S 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 l^ymenl) and/or unusual expenses Incurred in review of this application, and certifies that the information supplied Is trwe^cnocrect to the best of his/her knowledge. Applicant’s signature Date 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_________ Appnwnt must have all submittals into the City offices 25 days before the Planning Comrrissbn Meetino. Planning Commliston Meetings are held on the third Monday of each month Aonnonntc h* apaca !!*-11 - u ^ .. Monday of each month. Applicants must be present meetings of the Planning Commission and Council. If an appScant is unable to tlM 326/139 4 t»‘l t. y. > • I // • iimrjzs}^CWJIO « «i8!r3