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REQUIRED SUB>nTTALS <br />All .of the follftwing information mutt hi. ..ibmitted hv th^ annliratin^ Itfailifnf ditf in <br />order for vour application to he cnn«irf«>r>^| yompl«>n.; n«t¥ m <br />1. <br />2. <br />3. <br />5. <br />6. <br />8. <br />Completed Application Form <br />Certified Property Owners List of ouTiers within 150’, labels and plat map (you <br />must list, labels and map from Hennepin Countv Department of <br />Finance, A-603, Govt Center, 348-5910). <br />Certificate of Survey (signed by a licensed sun-eyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8'/a” ,x H" for <br />reproduction. <br />To^graphic suney (existing and proposed elevations) if any changes in existing <br />grade are pro|Nsed. In addition, provide one (1) copy 8'/:" x 11” for teproducUon. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8'/j" 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 o\sner(s). <br />As an addendum to this application, please attach a separate list of anv other <br />persons you wish notified of this application. <br />Additional items as may be requested by City staff <br />The Applicant and Property Owner must sign this application. Please remember that voir <br />mriance appiktilon Is not commeie if it... .ho, , information ha. nn. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator agrees to pay addi.ional fees (staff lime not covered by original fee pavment) <br />and/ot consultant expenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his-Tier knowledge. <br />Applicant’s Signature_____________________Dale a|tt.|foi <br />OWNER'S SIGNATURE FPePERVtVC lO ,'FoT.flW, i,.c)l\ <br />The owner hereby acknowledges and agrees to this application and (Cither authorizes reasonable <br />entry onto the property by Ctty staff, consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's Signature ______Date <br />Applicant must have all subminals into die City offices 25 days before the Planning <br />Comnussion Meeting. Planning Commission Meetings arc held on the third Monday of each <br />month. Applicants must be present at all scheduled review meeting.^ of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled meeting, please <br />make arrangements to have an authorized agent attend in your place and to advise the Building <br />& Zomng Office of this change prior to the meeting. <br />-A <br />A