08-18-2003 Planning Packet - Laserfiche WebLink

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. \* * I*.»:•; • *. REQUIRED SUBMITTALS Pf-Ac fellqwiiE iifoniiMioa rows! be iwbmHtcd bv the ■ppHcitlon deidtfag date in or«l#r for >our ■ppllcatioa lo be coniidcrcd gomplelg; I. 2 ____ Completed Application Fonn ^ CertiHed Propeily Owners Ust of owners within ISO*, labels and plat map (you must obtain this list, labels and m^) from Henoepin Co«aty Department of Finance, A-603 Govt Center. 348 5910). — Certificate of Survey (signed by a licensed surveyor) and include hardcover calculations as required. In addition, provide one (1) copy SVi" x 11" for 5 6. 8. jk reproduction. ^^IHopographic survey (existing and proposed elevatioas) if any changes in existing grade proposed. In addition, provide one (1) copy 8V'i" x 11" for reproduction Sketches or plans of floor Sc elevation views (provide one (I) copy 8^*" x 11"). List of the legal names (include marital status) of all persons with an interest in the ^^property. This would include namc(s) of applicant(s) if not current owner(s) As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. __ Additioruil items as may be requested by City staff. The Applicant and Property Owner must sign this application. Please remember that your >'8ritBCt HWlkathMi h aot complete If the above informathiu has not been included. APPLICANT’S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Admimstrator. agrees to pay additional fees (staff time not covered by original fee payment) and/or consultant expenses incurred in review of this application, and certifies that the information supplied is true and corrgjftqjV^ best of his/her knowledge. Applicant's Signature Date *7^ /O OWIMER'S SIGNATURE The owner hereby acknowledges and agrees to this application and fiirthcr authorizes reasonable entry onto the properiy^A City staff, consultants, agents. Cbmmission members, and Council members for purposeyjtftjW^ and verification of this request. O.suer's Signature "7- iH- OS Applicant iiMst have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at aU scheduled review meetings of the Planning Commission nnd Connea If an applicant is unable to attend a Kheduled meeting, please make arrangements to have an authorized agent attend in your place and to advise the Building & Zoning Office of this change prior to the meeting. Ot 'H?•.»•i