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REQUIRED SUBMITTALS <br />1. __^^complel0d Application Form. <br />4. <br />5. <br />e. <br />_j,^^^scribe request m detail. <br />fx^erlified Property Owners List of owners within 350* of the sub;ect property, labels and plat map <br />List, labels and map may be obtained from Hennepin County Department of Finance, <br />y'Government Center. A-603 300 South ^StreeL Minneapolis, telephone 612-348-591 0). <br />_ Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. <br />Attach legal description to application if rot mduded on recuired survey. <br />____Topographic survey (existing and p'oposed contours) if land altcratons involve charges m <br />/elevation (grades). <br />List of the legal names (include mar tal status) of ail persorts with an interest in the property. This <br />would include name(s) of appl»cant(s) if not current owner(s). <br />8. <br />9. <br />.Construction plan, if appficable (see staff for requirements). <br />_As an adder>dum to this application, please attach a separate hst of any other persons you wish <br />notified of this application. <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 require scaled drawings of a!l documents, plans, etc to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please romennber that <br />your application 'a 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 />The applicant hereby agrees to provide at! information required or requested by the <br />Zoning Administrator, agrees to pay additional fees (staff time not covered by originai 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 />Appricanfa signature Date <br />OWNER’S SIGNATURE <br />The owner hereby acknowiedges 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 UVis <br />request <br />Owner's signature Date <br />•L.- <br />Appicsnt must hsvt sU subfruOd^ into tns City otfess 25 esys bofor# PlSA/wg Cocnniisston <br />Planning Commission Meeb-ngs are held on ms third Monday of each month. Applca.'^ts must bo prese’t <br />at all scheduled review meetfvgs of the P.annir>g Commission and Council. If an apprcani is unable to <br />attend • scheduled mtstirg. olease make arrangements to n»ve an auU-onzcfl ajent attend m v-jur place <br />an^ advise me B;<4d ng & Zoning Office of this change pher to me meebng.