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2. <br />3. <br />REQUIRED SUBMITTALS <br />I- ____Completed Application Form. <br />____Describe request in detail. <br />------CertiHed fropfrty Owmers List of owners within 350*, labels and plat map (you <br />must obtain this list labels and map from Hennepin County Department of Finance <br />A-603, Government Center, 348-3271). <br />------Certificate of Survey (signed by a licensed rjrve>-or) - refer to handout for surveyinformation, »u»>cy <br />------Attach legal description to application if not included on required survey. <br />------Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />----1:™,'’!“'%!.'*^ T" ‘1"^'“''' “ *"•««> i" theproperty. This would include name(s) of applica.nl(s) if not current owneifs). <br />------ Construction plan, if applicable (see staff for requirements). <br />------ As an addendum to this application, please anach a separate list of any other <br />persons you wish notified of this application. ^ <br />5. <br />6. <br />7. <br />8. <br />9. <br />FOR "^PR^So/DOCUME.NTS OR COPY <br />futamll)*'*' ^ ° documents, plans, etc. to be <br />The Applicant and Property Owner must sin this application. Please remember that vour <br />application is not complete if the above infonr.aiion has no: been included. ^ <br />—-------------------------------- ------------- <br />APPLICANT'S SIGNATURE <br />TU applicant hereby agrees to provide ali uiformation required or requested by the ZonL-a <br />Administrator agrees to pay additional fees (staff time not covered by’original ferpayme-') <br />sumhe^r. 'T'" n '"'r “d certifies tte the inforJJ^licnsupplied IS true and correct to the best of hislisr knowledge. <br />Applicant’s signature Date P/SO fO 3 <br />OLIVER’S SIGNATURE <br />fi-rther authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members and Counc’ <br />members for purposes ^invgiga^ an^rificatio^of this request. <br />Owner's signature ■>V yT Date /o~o? <br />Planning Commission Meetings are held on the third Lndafof each''4nth a l““* <br />scheduled review meetings of the Planning Commission and CoiJSl ?f App .cants must be present at aM <br />scheduled meeting, please make arrangemenu to have a.-, authoS^- « unable to aneod a <br />Building A Zoning OfT.ce of this change prior to the rr.eeu.Tg ^ “* <br />Tr it <br />^ # <br />\