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REQUIRED SUBMITTALS <br />Completed Application Form. <br />Describe request in detail. <br />5. <br />6. <br />Describe request in detail. <br />Certified Pro^r^- Owners List of owners within 350’, labels and plat map (you <br />ctl:r34s"3?/r <br />infwmaUon ^ ^ licensed surveyor) - refer to handout for survey <br />8. <br />9. <br />Attach legd description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />clumges m elevation (grades). <br />^ List of the kgal names (include marital status) of all persons with an interest in the <br />property. This would include name(s) of applicant(s) if not current owner(s). <br />_ Construction plan, if applicable (see staff for requirements). <br />— As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />™ SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />The Apphe^t 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 />Imuals of Clerical StatT______________________Date <br />APPLICA.NT’S SIGNATURE <br />■uApplicant’s signature <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges agrees to this application and ftirther authorized reasonable <br />entry onto the property by City stafl. consultants, agents, commission members, and Council <br />members for purposes of investigation and v erification of this request. <br />Date /<: <br />Owner's signamre Date ^ly foJ <br />Applicant must have all submituU into the/6?f oCBSr->V/^hfLr* ih^ .. • <br />"T Comn.U.ion »,d Council If nn oppticM. " <br />bX s tz oftiS;rpTr,'’r j:rnr'“' <br />1