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REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />8. <br />9. <br />Completed Application Form. <br />] Describe request in detail. <br />.Certified Property Owners List of owners within 350' of the subject property, <br />labels and plat map. Li®*, labels and 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 />^Certificate 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 sun/cy. <br />^Topographic survey (existinn and proposed cor aurs) if land alterations <br />~ involve changes in elevation (grad iS). <br />_ List of the legal names (include mama! 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 />_ 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 REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY <br />FOR REPRODUCTION (II*' X17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require scaled drawings of all 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 />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 <br />that the information supplied is true and correct to the best of his/her knowledge. <br />Applicant's signature Date zhli <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 />request. <br />Owner's signature _____________Date 7 /jL-i <br />AoDlicanl must have ail submitta's int^e City offices 25 days before the Planning Commiss on Mooting.Applicant must have all submitta's int <br />Planning Commission Mootings ara held on the third Monday of each month. Applicants must be present <br />at all scheduled review meebngs of the Planning Commission and Council If an applicant is unable to <br />attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place <br />and advise the Building & Zoning Office of this change prior to the meeting. <br />vv 3 ,i