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1. <br />2. <br />j/ <br />REQUIRED SUBMITTALS <br />AlLoLtht follOWiPt Information muit be ■ubmitted hv thg inplicaHon deadline daft in ttrAmr <br />for vour ■DDilcaHon to b« cnn«^^y|y| complete! viwn <br />Completed Application Fonn <br />Certified Property Ownen List of owners within 150*, labels and plat map (you must <br />obtain this list, labels and map from Hennepin County Department of Finance, A-603 <br />Govt Center, 348-5910). tovi. ' <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy SVi" x IT for <br />reproduction. <br />Topographic survey (existing and proposed elevations) if any changes in existing grade <br />w proposed. In addition, provide one (1) copy W x IT for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8^* x 11"). <br />Ust of the lepl names Ooclude marital status) of aU persons with an interest iii the <br />property. This would include naroe(s) of applicants) if not current owner(s). <br />As an addendum to this appUcation, please attach a separate list of any other persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Appliunt and Fnpaty Owner must sign this appUcadon. Please remember that veur <br />VbllMCt MPlIcatlOa ll QOt complele If Ihe ^huy, laformnH.. ... K.,, l.,i.,w.4 <br />APPLICANT'S SIGNATURE <br />^e applicant hereby agrees to provide an infoimatioa required or requested by the Zoning <br />P<V tdditioiU|l fees (staff time not covered by original fee parent) aruvi <br />cons^umt expense incurred m review of this application, and certifies that thr^oimation <br />supplied is true and concct to the best of his/her knowledge. <br />AppUcanVs SisnMtuxtyyCiJ^ Date __________ <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this applicadon and further authorizes reasonable <br />entry onto the property by City staff, consultants, agents. Commission mernben, and Council <br />members for purposes of mvesUgation and verification of ihi^ request. <br />5. <br />6. <br />7. <br />8. <br />DateOwner’s Signature'^u,x^«J?y <br />Council. If an ^licant is unable to attend a scheduled meeting, please make arrangements to <br />cto^prio^AeTeJinT ^ ““ <br />^ O O Q <br />J