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\I •• ' % <br />.*• »• <br />reqi ^ed submittals <br />1.Completed Application Form. <br />Describe request in detail.2. \y Describe request in detail. ^ \ <br />3. Certified Property Owners List of owners within(350^f the subject property, <br />labels and plat map. List, labels and map maylje^btained from Hennepin <br />County Department of Finance, Government Center, A-603 300 South 6*^ <br />Street, Minneapolis, telephone 612-348-5910). <br />____Certificate of Survey (signed by a licensed surveyor) - refer to handout for <br />survey information. <br />____Attach legal description to application if not included on required surve'y. <br />____Topographic survey (existing and proposed contours) if land alterations <br />involve changes in elevation (grades). f ^i p} yf"; <br />_____List of the legal names (include marital status) of all persons with an interest in •' • .■ <br />the property. This would include name(s) of applicant(s) if not current <br />owner(s). <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 wish notified of this application. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (11” X 17” OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be <br />submitted.) <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 />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:_____________________________Date _________ <br />APPLICANT'S SIGNATURE vU ^ ( <br />The applicant hereby agrees to provide all information required or requested by the <br />Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee <br />payment) and/or unusual expenses.,incurred In review of this application^ and certifies <br />that the information supplied is tru^ and correct to the best of his/her knowledge. j <br />Q hlhVApplicant’s signature _____Date <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property by City staff, consultants, agants, commission <br />members, and Council memb^^ for purposes of investigation and verification of this <br />request <br />Owner ’s signature ‘ ---------------------Date <br />Appliianl^rjjist have all silbmittals into'Ihe Cliy'offices 25 days before the Planning Commission Meeting <br />Piannir^.GPQomlssion Meetings are held on the third Monday of each month. Applicants must be present <br />at an'*s&edliiM{review meetings of the Planning Commission and Council. If an applicant is unable to <br />attend a scheduled meeting, please make arrangements to have an authorized agent adend in your place <br />and advise the Building & Zoning Office of this change prior to the meeting. <br />•. t <br />i r <br />‘•'V. <br />Ij U <br />/ 0/* <br />At <br />y <br />1