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REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <br />Certified Property Owners List of owners within 350’, labels and plat map (you <br />must obtain this list, labels and map firom Hennepin County Department of Finance <br />A-603, Government Center, 348 33W). <br />Certificate of Survey (signed by a licensed suiveyot) - refer to handout for survey <br />information. <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 />List of the legal names (include marital status) of all persons with an interest in the <br />propeny. This would include name(s) of applicant(s) if not cunent owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach n 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 (ir* 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 that 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 Staflf:^______________________ Date <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or unusual e.xpcnscs incurred in review of this application, and certifies that the information <br />supplied is true and cortect to the best of his/her knowledge.WJM Properties, LLC * <br />Applicant’s signature »^///V/V Z/l/f/y'/’/' i- ‘^^ Date <br />btaurlc^ J. .;waietier, bvAbo^s ML z^appia ■ <br />2002 <br />OWNER’S <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members, end Council <br />members for purposes investigation a.nd verification of this request. <br />_________Date 2002Owner's signature <br />David R. Busch, Its authorized officer <br />Applicant must have all tubmituls Into the City oifices 25 days before the Planning Ccmmlaiion Meeting. <br />Plaoning Commission Meedags are held on the third Monday of each month. Applicants must be present at all <br />scheduled review meetings of the Planning Co.nmission end Council If an applicant is unable to anend a <br />scheduled meeting, please make airangemenis to have an authorized agent anend in your place arid advise the <br />Building & Zoning Office of this change prior to the meeting.