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REQUIRED SUBVITTALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />8 <br />S. <br />Z2L <br />A.'f? <br />Completed Application Form. <br />Describe request in detail. f ^ \ <br />\ Certified Property Owners Ust of owners withinnSO^f the subject property, <br />labels and plat rr.ap. Ust. labels and map may'lse^btained from Hennepin <br />County Department of Finance. Government Center. A-603 300 South 6** <br />Street. Minneapo’is, telephone 612-348-5910). <br />. Certificate of Su. ^ey (signed by a licensed surveyor) • refer to handout for <br />survey information. <br />_ Attach legal description to applicaticn if not inc'uded on required survey. <br />Topographic survey (existing and proposed contours) if land alterations <br />"involve changes in elevation (grades). ^0 ^ <br />_ List of the legal names (include marital status) of all persons with an interestin <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 requirem.ents). <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 (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 App'icant and Property Ovm.er must sign this application. Please remember that <br />your application is not complete if the above information has not been included. <br />Certfication by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff;_____________________________Date__________________ <br />6d by the ><*• <br />*<•> <br />APPLICANTS SIGNATURE <br />The applicant hereby agrees to provide all information required or requeue <br />Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee <br />paym.ent) and/or unusual expenses, incurred in review of this appHcatiorr, and certif.es <br />that the information supplied is truy^ and corxect to the best of his/her knowledge. ^ <br />^ Date 11 ( k/Applicant’s signature <br />OWNER’S SIGNATURE <br />Tne owner hereby acknowledges and agr<^ s to this application and further authorized <br />reasonable entry onto the property by y staff, consultants, agents, commission <br />members, and Council memb^ for purposes of investigation and verification of this <br />request. <br />Owner’s signature »\\\AA____ _ r—^_____________Date <br />Appli«fant4fjyst have all sObiruhals into the City offices 25 days before the Planning Cc'nmis4on Meeting. <br />PianniM^^ramlssion Meetings are held on the third Monday of each month. AppHcanti must be present <br />at all 'sMtediD^iraview meetngs of the Planning Commission and Coundt If an applcani is unable to <br />anend a scheduled meeting, please make arrangements to have an authorized agent attend in your place <br />and advise the Building & Zoning Office of this dianjje prior to the meeting. <br />ITl •-t