07-19-2004 Planning Packet - Laserfiche WebLink

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REQUIRED SUBMITTALS 1. 2. 3. 5 6. 8. 9. Completed Application Fo'n. 'Describe request in detail. ’ Certified Property Owners List of owners within 350' of the subject property, labels and p!at map. List, labels and map may be cbtaincd from Hennepin County Depanmer.t of Finance. Govern.T.ent Center. A-603 300 South 6*' Street. Minneapolis, telephone 612-348-5910). ,Certifcate of Sun/ey (signed by a licensed surveyo”) - refer to handout fo' survey information .Attach legal description to application if not included on required survey. I Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (g-ades). . List of the legal names (include marital status) of all persons w th 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 wish notified of this app'ication YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR REPRODUCTION (IV X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawi.ngs of all documents, plans etc. to be submided.) 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. Cert fication by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:_____________________________Date__________ APPLICANT’S SIGNATURE The apr cant 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 supplied is true and correct to the best of his/her knowledge. (• V t'-*. / C. £• KApplicants signature’Date y w.^7 OWNER’S SIGNATURE Tre owner hereby acknowledges and grees to this application and further authorized reasonable entry onto the property / City staff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Owner's sionatuPeT^ * A dp -cam must have a'l subn-.itta’s m‘.o the C^(/offces-25 days cefore ^Jj^4>lanning Comrrlss on feting Pia'inl.ng Co-mT. ssion Meeengs are he.d cnl^e third Monday of each monin. Applicants must be present at all sohedj'ed review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authonzed agent attend in your piaea and advise the Building & Zoning Office of this change prior to the meeting. o iCZj