09-20-2004 Planning Packet - Laserfiche WebLink

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REQUIRED SUBIUTTALS: ^OfWT Afai/T /NPO.A^ VJG A(J.c^i AU of the following Infbrmrtlon mutt be submftted by the appBcatlon deadline date In order for you* appHeation to be processed. P Pre-AppHcatlon Meeting Form, oompieted by a City Planner. D Completed Application Form □ Completed Heirship Documentation Form □ Certified Property Owners List - owners within 150' of the subject proporty. labels and plat map. List, labels and map may be obtained from Hennepin County Department of Finance. Government Center. A-603 300 South 6^ Street. Minneapolis, telephone 612-348-5910 □ Original Certificate of Survey (signed by a licensed surveyor), meeting all the requirements listed within this packet. Including hardcover calculations. Also provide one copy 8.5" x 11* or 11" X17" for reproduction. □ Completed hardcover calculation worksheets (as provided within the variance packet). D Topographic survey - mcluding existing and proposed elevations. Provide one copy 8.5' x 11" or 11" X 17" for reproduction. □ Sketches or plans of floor ar>d elevation views (provide one copy 8.5"x11’orirx17l. □ Addltlorwl Items may be requested by City Staff depending on the scope of the project " APPLICANTS ACKNOWLEDGEMENT: The applicant hereby agrees to provide all information required or requested by the Planning Department, agrees to pay additional fees (staff time not covered in the original fee payment) and/cr consultant expenses Incurred in review of this application and certifies that the informaUon supplied Is toie and correct to the best of his/her Knowledge. The applicant recognizes that ha/she is solely responsible for submitting a complete application being aware that upon failure to do so. the staff has no attemative but to reject it until it Is comploto or to recommend the request for denial of the request regardless of Its potential morit Applicant's Signature: Applicant’s Signature: Dater Date: OWNER’S ACKNOWLEDGEMENT: The owner hereby acknowledges and agrees to this appPication and further authorizes reasonable entry onto the property by City Staff, consultants, agents. Commission & Coundl Members for purposes of investigation and verification of this request. >k Owner's Signature: Owner's Signature: Pate: Date: g. //f^/ V ^ /'7- Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are normally held on the third Monday of each month. Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a schedukjd meeting, please make arrangements to have an authorized representative atterkf in place of the applicant and advise the City Planner assigned to your project rr, n.. A ^ \ -JT!—.'i; At lZ9-d rQ0/C80 d ilM Slimzzsh rc«-:z-i«rr