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REQUIi^O SUBMITTALS <br />1. / Completed Application Form. <br />2. y. Describe request in detail. <br />3. y Certified Property Owners List of ov/ners within 350’ of the subject property. <br />labels and plat map. L'st. labels ar^d map may be obtained from Hennepin <br />County Department of Finance. Government Center. A-603 300 South 6*” <br />Street. Minneapolis, telephone 612-348-5910). <br />4. y Certificate of Survey (signed by a licensed surveyor) • refer to handout for <br />survey Information, <br />5. y" Attach legal description to application if not included on required survey. <br />6. / Topographic survey (existing and proposed contours) if land alterations <br />involve changes in elevation (grades). <br />7. s/ List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current <br />owner(s). <br />y 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 />8. <br />9. <br />YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff v/il' require scaled drawings of alt documents, plans, etc. to be <br />submitted.) <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 />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:_________________________Date <br />APPLICANT'S SIGNATURE <br />Tho 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 />Applicant's signature ___JP- 'fti Date <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property by City staff, consultants, agents, commission <br />members, and Council members for purposes of investigation and verification of this <br />‘ApplicaniThJit hSVi'aH'tuBftliBM WgHleXity ofRceaZa petom th4>' Riipn^ COfnfni»»bh <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present <br />at an schsduled review meetings of the Planning Commisaion and Counefl. If an appHcant Is unable to <br />attend a scheduled meeting, please make arrangements to have an authodzed agent attand In your place <br />an^^a phor to lha meeting.