10-13-2003 Council Packet - Laserfiche WebLink

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I' REQUIRED SUBMITTALS 1. y Completed Application Form. ^ . v Describe request in detail. ^ ____Certified Property Owners List of owners wifiiin labels and plat map (you must obtain this list, labels and map fiom Hennep.n County Department of Finance, A-603, Government Center. 348-3271). ____Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. ____Attach legal description to application if not included on required survey. ____Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). ____List of the legal names (mclude marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). Construction plan, if applicable (see staff for requirements). ____As b«i addendum to this application, please attach a separate list of any other persons you wish notified of this application. 2. 3. 4. 5. 6. 7. 8. 9. YOU .\RE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTIO.N (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff: ______________________ 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 original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the best of bi&lier ^owledge.rect to the best of bi&lier Im Ji ax___C Date fhlaf Manager Applicant’s signature OWNER’S SIGNATURE f-Ver u). ^ The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, conun ission members, and Council members for purposes of investigation and verification of this request. Owner’s signature Date Applicsr.t must have all submittals into the Cit> oflRcet 25 days before the Planning rnmmiMlftn M>#ring Planning Commission Meetings are held on the thin) Monday of each month. Applicants be present at all scheduled review meetings of the Piamung Commission and CouncO. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the Building A Zoning Office of this change prior to the meeting. 6 n ff±t oo f/J ‘1 / ?• • ♦1