Laserfiche WebLink
REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />8. <br />9. <br />Completed Application Fonn. <br />Describe request in detail. <br />Certified Ownen List of owne« within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of Finance <br />A-603, Government Center, 348-3271). <br />Certificate of Survey (signed by a Ucented surveyor) - refer to handout for survey <br />information. <br />Attach legal description to application if not included on reauire<t gnrt/i»y <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />___ List of the legal names (include marital status) of all persons with an interest in the <br />/ property. This would include name(s) of applicant(s) if not current owner(s). <br />^ Construction plan, if applicable (see staff for requirements). <br />j/ <br />As an addendum to this application, please attach <br />persons you wish notified of this application. <br />a separate list of any other <br />YOU ARE REQUIRED TO SUPPLY 3() COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (II” X 17 ” OR SMALLER) FOR ALL DOCUMENTS <br />SinMimD. (Suit will nquire to scale diawinga of aU documents, plans, esc. to be <br />submitted.) <br />Ihe Applicant and Property Owner must sign this appUcation. Please remember that your <br />application is not complete if the above infotmation has not been included <br />Certification by Clerical Dqiartment that Land Use Application is complete <br />Initials of Clerical Sttff: ______________________ Date <br />APPLICANT’S SIGNATURE <br />The appUcant hereby agrees to provide all information required or requested by the Zonlna <br />Admmistrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or tmusual expenses incurred in review of this application, and certifies that the information <br />supplied IS true and correct to the best of his/her knowledge. <br />OWNXR’S SIC.NATURE <br />The owner hwby acknowledge and agrees to this application and fiirther authorized reasonable <br />entry onto the property by City slafL consultanu, agents, commission members, and Council <br />members for puqjoses of investigation and verification of this request <br />-------tr -p-— <br />BuOdug A Zoaiof Office of this ebaage prior to the meedng. ■ <br />#2977