06-09-2003 Council Packet - Laserfiche WebLink

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' I tr • I BEQUIRED SUBMITTALS y 1. X Completed Application Form. 2. X Describe request in detail 3. X Cettified Property Owners List of owners within 350', labels and plat ^ou musr obtain ^ list, labels and map 6^ Henn^in County D^artment of Finance, - A-603, Government Center, 348-3271).'^ 4. X • Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey infonnation. 5. 6. 7. 8. 9. X Attach legal description to triplication if not included on required survey, Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). y ' List of the legal names (include marital status) of all persona with an interest in the, property. This would include name(s) of ^plicant(8) if not current oumer(s). v/ ____Constraefion plan, if qiplicable (see staff for requirements), - Spec- & ____As an addendum to this application, please attach a smrate list of any other persons you wish notified of this ^plication. Mo4 R<q«ii/xaa YOU ARE REQUIRED TO SUPPLYjn COPIES OF LARGE DO 'UMENTS OR COPY FOR REPROIlUCnON (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be submitted.) The >^?plicant and Property Owner must sign this application.. Please remember that your application is not complete if the above infonnation has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Stafif:^__________________________Date________________________ APPLICANT’S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by origi&al fee paymtmt) and/or expenses incurred in review of this ^ipUcation, and certifies that the information supplied is true and com Applicant's signature e best of T7 Johnson,^ lis/fa^ knowledge.I Date 4-24-2001 ____________ Date 4-24-2003 Johnson, as/Attdrney and Agent for WJ*«. Proper ties LLC s Attorney and Agent OWNER'S SIGNATURE Properties LLC The owner hereby aclmowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council memben for purpose of investigation and veri^ation of this request Owner's signature _ \ Pettc^^m ww.iitauti, 09 fncLULuey ouu Agent lor Kj;! I’roperties LLU Applicant mult ■ w all cubminaU ima the Cay officta 2S dqrs before the riaaBing OnranisstoB MeiOAg 71aiuihif Comniuioo Mcednst arc bald on the third Monday of each noaA. AppUcaaa nam be pttacat at all pKoiiviyd review needais of ibe Plaimiqg CooBBluion and CeoadL If an i^licaat k uBable to attead a scheduled meettps, please nakr anaagem^ to have an audwriecd a|Cac attend in year place and advise the PyP/tiMj M Zoaias Office of this chasfc prior to the tneedag.