11-13-2001 Council Packet - Laserfiche WebLink

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1. 2. REQUIRED SUBMITTALS AU.flL!hc fgflQwing InformatlQn nunr he submi»#H hy the agnUf^Hon dMi»in> order for vour aPDlIcatlon to hg roii«trf#ry^ ..... Completed Application Form Certified Propc^ Ovmers List of owners within 1 50 ’. labels and plat map (you must ‘‘s** labels and map fiom Hennepin County Department of Finance, A-603, Govt Center, 348-5910). Certificate of Sur\'ey (signed by a licensed sur\eyor) and include hardcover calculations as required. In addition, provide one (1) copy S'/s’* x IT for reproduction. Topographic survey (existing and proposed elevations) if any changes in existing grade are projwsed. In addition, provide one (I) copy 8'/j** x 1 1 “ for reproduction. Sketches or plans of floor Sc elevation views (provide one (1) copy 8'/j" x 11"). List of the legal names (include marital status) of all persons with an interest iri the property. This would include name(s) of applicant(s) if not current owner(s). As an addendum to this application, please attach a separate list of anv other persons you wish notified of this application. Additional items as may be requested by City staff. 3. __ 4. __ 5. 6. 8. The Applicant ai^ Property Owner must.sign this application. Please remember that vour varianct applk ltion la not complete if information hr.< nor APPLICANT’S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Adrninistrator. agrees to pay additional fees (staff lime not covered bv original fee pavmeni) and/or consultant expenses incurred in review of this application, and certifies that the information supplied ts true and correct to the best of hisher knowledge. Applicant's Signature_____X Date 8|^/ol OWERS SIC.NATURE lO.'Po^flVC. The owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City staff, consultants, agents. Commission members, and Council members for purposes of investigation and verification of this request. Owner's Signature Date A/2tW Applicant must have all submittals into the City offices 23 days before the Planning Commission Meeting. Planning Commission Meetings arc held on the third Monday of each month. Applicants must be present at all scheduled revlesv meetings of the Planning Commission and Council If an applicant is unable to attend a scheduled 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. I jL