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REQUIRED SUBMITTALS <br />. _____Comp'eted Application Form. <br />2. _____Cescribe request in detail. f <br />3 Cert.fied Property Owners List of o.vrers wif.m 350 y the sub.ect prcpety, <br />labels and plat map Ust, iabe’s and map r\^y be^tained frcm Henr.ep'.n <br />Counry Deoanrrent of Fi-'ance GovemrrertCe^te', A-603 300 Scutn 6'*‘ <br />St'est M.irneaoo'is, telephor.e 612-3<ia-5stC). <br />4. _____Cer^ifcaie of Sur\'ey (signed by a licensed sur\'sycr) - refer to handc-t fcr <br />survey ir.forrrabon, <br />5. Attach legal descnplicr to application if rot included on required su'vey. <br />6. TccoQ'aohiC survey (existing and proposed ccntours) If lard a'teraiicns <br />involve changes in elevation (g-ades) <br />7. List of the legal names (include manta', status' of all persc's w th an ir'terest in <br />tne property. Th's wou d induce rare(s) cf applicant's) not current <br />owner(s). <br />8. Construction plan, if applicable (see staff for requirerr.ents). <br />9* _____As an addendum to th s appi cat on p ease ar.aoh a seps'ate list cf any other <br />pe'scns you wish ro*Ted of tnis appitcat cn <br />YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (11” X 17” OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will requ're sca’ed drawings cf ail documents, plans etc. tc be <br />subm.ir.ee.) <br />The Applicant and P.'operty Owner rr.ust s.gn th s appi cat cn P ease '’erre.mber that <br />your applicat'on is net complete if f-e above informaticr has not been included, <br />Ceriif cation by C;erical Depar.rn.ent that Land Use Applicat on =s complete. <br />Initials of Clerical Staff:______________________________Date------------------------------- <br />APPLICANTS SIGNATURE <br />The applicant hereby agrees to provide all informat-on requireo cr requested by the <br />Zoning Administrator, agrees to pay additicnal fees (sta*f tirr.e not covered by or grai fee <br />payment) and/or unusual expenses incurred in review c* tn.ls appiicabon. and cehufes <br />that the hformat-cn suppj^e^t^^ard correct to tne best of h's/he- Rnow;edge. <br />Applicant's signature _______________________________—____— <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this appl.caticn and further auinonzed <br />reasonable entry onto the property by City sta*f, consultants, agents, comm.iSS.cn <br />members, and Ccunci) m>err.^rs for purposes of investigation and verificaticr. of this <br />request <br />Owner’s sic nature ________________________________________ Date *f <br />App:ica.nt must have all aubmina's t:jo r.e Oty c*f.ces 25 Cays before the Plan-iing Comr ssicn Meeln.g. <br />Planning Commission Meetings are held on the third Monday of each month. Appiica.nti must be present <br />at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to <br />attend a scheduled meeting, please make arrangennents to have an authorized agent attend in ycur place <br />and advise the Building & Zoning Office of this change prior to the meeting. <br />JL jL ^.!U!. tn f\ ft ja»-«iU. U s