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REQUIRED SUB>nTTALS <br />All-gflht following Information mwst be submitted bv the application deadline datg In <br />order for vour application to he eomM^r^d gomnl#t»; <br />■ ■■■■■■ M .uBiri JMCmilUCU U <br />order for vour application to he comM^r^d gompl#t»; <br />I. ^ Completed Application Form <br />m __ <br />2-----Certified Prope^ Owners List of owners %vithin 150 ’, labels and plat map (you <br />must obtain this list, labels and map from Hermepin Coutity Department of <br />Finance, A-603, Govt Center, 348-5910).. <br />Certificate of Survey (signed by a licensed surveyor/ and include hardcover <br />calculations as Tn ___ <br />3. <br />4. <br />^ ----- ouu ia\.iuuc naracuver <br />calculations ds required.^ In addition, provide one (1) copy ZVz' x 11" for <br />reproduction. C\>; \ynf^A^ <br />^pographic surv^ proposed elevitions) if any changes in existing^ ^ --------^ II ttujf enanges in cxisung <br />grade are proposed. In addition, provide one (1) copy 8'/i" x 11" for reproduction.o 1 —r----- — vusj \Lj wpy o/a X 11 lor rcproaucuon <br />5* Sketches or plans of floor & elevation views (provide one (1) copy 854** x 11 ”). <br />— ' List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current owmer(s). <br />---- As an addend^ to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />___ Additional items as may be requested by City staff. <br />7. <br />8. <br />The Applicant and Property Owner must sign this application. Please remember that vour <br />yatlaDgg.PPPlicaliQn h not complete if the above inform ation has not been ineluded. <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 consultant e.xpenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />M I <br />Applicant's Signature ( >LaaA. - vAi <br />0 <br />OWTS’ER’S SIGNATURE <br />Date __A 1^ <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the property by City staff, consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request <br />Owner's Signature ^Date 60 <br />Applicant must hav^^ll submiAals into the Cit\* offices 25 days before the Plaiuiing <br />Comnussion Meeting. Plaiuung Commission Meetings are held on the third Monday of each <br />month. Applicants must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled meeting, please <br />make a-*rangements to have an authorized agent attend in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting. <br />Zok <br />• lUA-^Wv cU omI <br />UXy,>at^ iOnVo A. ^ .\D . J..i. a A