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REQUIRED SUBMITTALS <br />1 <br />• 2. <br />. 3. <br />5. <br />6. <br />8. <br />9. <br />.Completed Application Form. <br />. Describe request in detail. <br />.Certified Property Owners Ust of owners within 350' of the subject property, <br />labels ara pl^ map. Ust. labels and map may be obtained from Hennepiri <br />county^partment 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 survey. <br />.Top^ra^ic suivey (existing and proposed contours) if land alterations <br />Involve changes In elevation (grades). <br />List of the rumes (include marital slalus) of all persons with an interatl in <br />the property. This would include name(s) of appllcant(s) if not current <br />owner(s). <br />Construction plan, if applicable (see staff for requirements) <br />sub^edf require scaled drawings of an documents, plans, etc. to be <br />The Applicant arid Property Owner must sign this application. Please remember that <br />your application is not complete If the above Information has not been Included. <br />APPLICANrS SIGNATURE <br />agrees to provide alt Information required or requested by the <br />that the information supplied is Iru^d correct to the best of hismer knoviiedge.plied »tru^nd correi <br />.Date o VApplicant's signature__ <br />OWNER'S SIQNATU^ <br />T •pplicalion and further authorized <br />reasonable entjr oift^e property by City staff, consultants, agents, commissi^ <br />requeM*’ CouVc^embeis for purposes of investigation and wrlflcati^ofMils <br />LOwner's signature <br />Applicant mutt have ajrtu <br />Planning Commissio <br />ils into the <br />attend a echaduled meeBhg^ltaie make arrangemcnu to have an authorized eoent li <br />^ c^e prior to the meeting. ® ^ <br />Date <br />ng ComrJissien Wting. <br />#2;;J O w’■$