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REQUIRED SUBMITTALS <br />1. y/ Completed Application Form. <br />2. Describe request in detail. <br />3- —Certified Property Owners List of ov/ners within 350' of the subject property. <br />labels and plat map. List, labels and map may be obtained from Hennepin <br />County Department of Finance, Government Center. A-603 300 South <br />Street, Minneapolis, telephone 6l2.34a-SQi m <br />Certificate of Survey (signed_by _a licensetf surveyor) - refer to handout for <br />survey Information. <br />5. Attach legal description to application if not included on required survey. <br />6. Topographic survey (existing and proposed contours) if land alterations <br />7.:? -iL£ <br />8. <br />9. <br />■--------f-------------------------------------WIIW <br />involve changes in elevation (grades). <br />List of the legal names (include marital status) of all persons with an interest In <br />the property. Tnis would include name(s) of applicant(s) if not current <br />owneits). <br />\_1_ 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 />YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (ir X 17” OR SMALLER) FOR ALL DOCUMENTS <br />submitted. (Staff will require scaled drawings of all documents, plans, etc. to be <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 />Certificatiori by Clerical Department that Und Use Application Is complete. <br />APPLICANTS SIGNATURE <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 true and correct to the best of his/her knowledge. <br />wled^s <br />Applicant's signature Date Jfe ¥ <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable ent^ onto the property by City staff, consultants, agents, commission <br />members, and Council members for purposes of investigation and verification of this <br />request. * <br />Owner's signature liAdVrtir^ (iTt Date <br />Plarjnlng Cornmission Me^gs are held on the third Monday of each month. Applicants must be present <br />meetings of the Planning Commission and Council. If an applicant is unable to <br />o A <br />j •> I • . I THr • C. . M <br />k...