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REQUIRED SUBMITTALS <br />*• Completed Application Form. <br />X Describe request in detail.2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />JL- Certified Property Owners List of owners within 350*, labels and plat map (you <br />Hennepin County Department of Finance- A-603, Government Center, 348-3271). <br />~ SbnnSon^^ Survey (signed by a licensed surveyor) - refer to handout for survey <br />x_ Attach legal description to application if not included on required survey. <br />X_ Topographic survey (existing and proposed contours) if land alteraUons involve <br />changes in elevation (grades). <br />— “’V!,'®'' “!1I “ *'••“> "f •“ *n interest in theproperty. This would include name(s) of applicant(s) if not current owner(s). <br />3C— 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 />fuS^ ^ documents, plans, etc. to be <br />The Applicant and Property Owner must sign this application. Please remember that vour <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 />Imtials of Clerical Staff:____________________ <br />APPLICANT’S SIGNATURE <br />Applicant’s signatun Date <br />OWNER’S SIGNATURE <br />Owner's signature (SEE attached letter )Date <br />Applicant must have all submittals into the Citv ofnees <t>v< *k> i>i ^ ... <br /><=»“«“• 'f - wuc... u <br />:>.c <br />t <br />iI <br />y