03-15-2004 Planning Packet - Laserfiche WebLink

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flb-IVnH H:\im ^rv-ClTY « 0D«T-m p m/iii MIT RCQUIf^O SUBMrTTALS 1. ^J^CompIttid Application Form, 2. _ ✓/ Detcrtet raguert in dataii. 3. _ Certified Proptrty Owner# Li»t of owners wrfthin 350* of the subject propert/. labels and plat map. List, labels and map may be obtained from Hennepin County Department of Fsianoe. Government Center. A-603 300 South . Street, Minneapolis, teiepbone 612-345-5910). 4. Certificate of Survey (signed by a Rcensed surveyor) - refer to handout for survey information. y\ Attach legal descripbon to application if not irKluded on required survey. ^^Topographic survey (existing and proposed contours) If land alterations 6. 6 8. 9. y involve chartges in alevalion (grades). - List Of the legal names (include marital sUtus) cf all persons with an inteiest in tha property. This would indude name(s) of applicant(s) if not current owner(s). jC^Conelniction plan. If appUeabla (see etaff for requirements). As an addendum to Oils application, please attach a separate Hst of any other persona you wish noWed of this application. YOU ARE REQUIRED TO SUPPLY 3* COPIES OP LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X IT* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawings of ell documents, plans, etc. to be submitted.) The Applicanl end Property Owner mutt sign this application. Pteise remember that your application Is not complete If the above information has not been included. Certification by Clericai Department that Lend Use Appfication is complete. InMale of Clarice] Staff:____________________Date/fu^r ■ APPttOANTB SIGNATURE The applicant hereby agrees to provide ad Information required or requested by the Zoning Administrator, agrees to pey additlona] fees (staff time not covered by original fee payment) and/or unusual expanses incurred In review of this appHcalion. md oertMles that ihe Information supplied la trug and eo^gcl Jo the best of his/her knowledge. Applicant's signature.Date OWNER'S SIGNATURE ^ The owner he'tby acknowledges and agrees to this application end further authorized reasonable cnlry onto Ihe property by City staff, consultants, sgento. commission members, and Council niembers for purposes of investigation and verification of this request. Owner's signature,Date AppScsnl must hews sU submittals into the CSy omees 25 Says b«Ms ths Ptonning Planning Commission Mattings are heU on the tvrC MonOsy of tsch monm. /^plicants must be ptastni at a> scheduled review meetings of Sia Ptarwing Cofivnisaion and Council U an appSkam is to /r f} '<■i ■• •• 'll j «. n