05-17-2004 Planning Packet - Laserfiche WebLink

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REQUIRED SUBMITTALS 1. v/ Completed Application Form. 2. Describe request In detail. 5. -er ; Certified Property Owners List of owners within 350* of the subject property, labels and plat map. List, labels and map may be obtained from Hennepin County Department of Finance. Government Center, A-603 300 South 6®* Street Minneapolis, telephone 612-348>5910). , Certficate of Survey (signed by a licensed surveyoO • refer to handout for survey information. .Attach legal description to application if not included on required survey. : Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). . List of the legal names (include marital status) of all persons with an interest in the property This would include name(s) of applicant(s) if not current owner(s). 'Construction plan, if applicable (see staff for requirements). ^ As an addendum to this application, please attach a separate list of any other persons you v/ish notified of th'is application. YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR REPRODUCTION (11" X17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc to be submitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:__________________________Date APPLICANTS SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplies true and correct to th^ best of his/her knowledge. Applicant's signature Date f'Z/'09 OWNER’S SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by^ity staff, consultants, agents, commission members, and Council members for pyfp^ses of Investigation and verification of this request Owner's signature Data'7'-?Applicant mutt twve all tutmiuls into the City dmces 25 days before the Planning Coinmitsion/'09 n Meetng!Planning Commission Meetings are held on the third Monday of each month. Applicants must bs present at all scheduled review meetings of Ihe Planning Commission and Councfl. if m applicant is unable to *r. :>