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REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Conq>leted Application Fonn. <br />Describe reqaest in detail. <br />Certified Property Owners List of owners within 350’, iaods and plaf mn (yon <br />must obtain tltis lis^ labds and map fimn Hennepin Coun^ DepartmemW Finance. <br />A-603, Oovenunent Center. 348-3271). <br />Certificate of Survey (tigned by a licensed surveyor; - reier to handout tor survey <br />infonnatioiL <br />Attach tegd description to applicition if not included on requited survey. <br />Tqpofirqjhic survey (existing and proposed contours) if land alterations* involve <br />changes in elevation (grades). <br />List of the legal names (indude marital status) of all persons with an interest in the <br />propetqr. This would include naine(s) of applicant(s) If not cuneni owoer(s). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this ^^plicadon. please attach a separate list of any other <br />persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11” X 17” OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember your <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 />Initials of Clerical Staff:________________________Date <br />APPUCANT'S SIGNATURE <br />The ^pHcant hereby agrees to imvide all uiformation required or requested by the <br />Administrator, agrees to pay ad^tional fees (staff time not covered by original fee paymeatl <br />and/or unusual expenses iocuired in review of this application, and certifies that the <br />supplied is true and correct to the best of hi&/her knowledge. <br />Applicant’s signature Due _3 jJS:^2=s. <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />enny onto the property by CiQr staff, consuliants, agents, commission members, and Cduncil <br />members for purposes of investigation and verification of this request. <br />Owner's signature Date <br />AppUesat must have all subrntaali huo the City ofllces 25 days befixe die Plaimlag (««(«« <br />Flannins Commiasioo Meetiags are held oo (he diird htonday of each monA. Applicaois »"««? be pttseat at all <br />scheduled review meetiap of Ae Plaanins Commis*.ion and Council. If an applicut Is to ^ <br />scheduled meetiag, please mike anugeincntj to bavc an auAoiixed agent attend in your place advlso ttie <br />Bttildias A Zoning Office of Ais change prior to tte meeting. <br />f; ■'“> <br />■/T ;-.J U' <br />% <br />V