06-21-2004 Planning Packet - Laserfiche WebLink

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r REQUI^D SUBMITTALS 1. ^ Completed Application Form. 2. Aj/a Describe request in detail. 3. Certified Property Owners List of owners within 350' of the subject property, labels and plat map. List, labels and map may be obtained from Henneph County Deparjr.cnt of Finance. Government Center, A-6C3 300 South S’" Street, Minneapolis, telephone 612-343-5910). 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. 5- Attach legal description to application if not Included on required survey. 6- ^^Topographic survey (existing and proposed conteurs) if land alterations Involve changes In elevation (grades). 8. 9. List of the legal names (Include marital status) of all persons with an Interest In the property. This would include name(s) of appllcant(s) if not current /ownor(s). V ^ Construction plan. If applicable (sec staff for requirements). 5/r/2-"#^ cYa As an addendum to this application, please attach a separate list of a.ny other persons you wish notified of this appi.ealion. ‘tOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff vriil require scaled drawings of all documents, plans, etc. tc 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 Departnentthat Land Use Application is complete. Initials of Clerical Staff:___________________________Oate APPLICANTS SIGNATURE The applicant hereby ag.'oes to provide all Information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by cricinal fee payment) and/or unusual expenses incurred In review of this application, and certifies that the Information supplied j^|^cn5o^ to the best of hismer knowledge. Applicant's signature Date OWNER'S SIGNATURE The owner hereby acknowledges and agrees to this appPcalion and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Owner's signature Date ^pEe»nt must hav# aD subnJta:$ Into ths Dty offees 25 days before the Planning Commissdn Mtetin;. Plarunlng Commission MeeSrsi art held on the third Ktondey of each month. Appficanti must be present at as scheduled review meeUngs of the Planning Commission and CouncH. If an applicant Is unable to attmd ■ scheduled mee^, please make arrangements to have an authorized agent attend In yocr place and advise the BuUdtng & Zoning Office of this change prior to the meeting. IIM OZO/iOl d IM-i iiirsmsi^CIOO do UI>«Ji *<IS:rQ »ooz-zz-<m