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REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />8. <br />9. <br />. ^mpleted Application Form. <br />. Describe request in detail. <br />.Certified Property Owners List of owr>ers within 350* of the subject property, <br />labels and plat map. List, labels and map may be obtained from Hennepin <br />County Department of Finance. Goverrvnent Center, A-603 300 South e” <br />Street. Minneapolis, telephone 612-346-5910). <br />. Certificale of Survey (signed by a licensed surveyor) - refer to handout for <br />survey information. <br />.Attach legal description to application if not included on required survey. <br />.Topographic survey (existif>g and proposed contours) if land alterations <br />involve changes in elevation (grades). <br />. List of the legal names (include marital status) of ail persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current <br />owner(s). <br />. 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 />YOU ARE REQUIREO 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 all documents, plans, etc. to be <br />submitted.) <br />The Applicant arvJ Property Owner must sign this application. Please remember that your <br />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 />APPLICANTS 8I0NATURE <br />The 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 that <br />the information supplied isjrue ar^rairoct to the best of his/her knowledge. <br />Applicant's signature ^ _/ /I ^_____Date _1 <br />OWNER’S SIGNATURE ^ <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the properly by City staff, consultants, agents, commission <br />members, and Council members for purposes of investigation and verification of this <br />Owner's signature ^ - _______Date /om <br />Applcam must havs aS submiitais iniolhe^y offices 29 days belm the Flaming Conun/sKxi Mteting <br />PlanningCommissionMMlirigsarahaldonthelhirdMondayofeachtTvxSh. Appkcanlt must be present <br />at all acherkied review meelvi os of the Planning Convniaaion and CounoL If an applicanl is ufwMa to <br />aland a scharkiad meatmg, plaasa maka arrangaments to have an aulhoruad aganl aSand in your plaoa <br />arvl adviM lha Bulding A Zoning Office of this change prior to the meeting <br />#fl063