11-26-2001 Council Packet - Laserfiche WebLink

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required SUB2VUTTALS 1. 2. 3. 5. 6. 8. 9. , Completed Application Form. , Describe request in detail. CeitiOed Probity Owners List of owners within 350 ’, labels and plat map (you Hennepin County Department of Finance A-603, Government Center, 348-3271). Sbmario surveyor) - refer to handout for survey Attach legal description to application if not included on required survey. Topographic survey (existing and proposed contours) if land alterations involve changes m elevation (grades). List of the legal names (include mari*cal statuk) of all persons with an interest in the p^roperty. This would include namets) of applicant(s) if not current owner(s). Construction plan, if applicable (see staff for requirements). As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY The Applicmi and Property Owner must sign this application. Please remember that your application is not complete if the above informaiion has not been included. Certification by Clerical Department that Land L se ApplicaUon is complete Initials of Clerical Staff: ______________________ Dale APPUCANT'S SIGNATURE The applicant hereby agrees to provide all infontiation requited or requested by the Zoning Administrator, agrees to pay additional fees (s-an time not covered by original fee payment) Applicant's signature —v----- Dale /£!•/'£ ■£>/ OWNER’S SIGNATURE ' The owner hereby acknovvledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultant*, agents, commission members, and Council members for purposes of investigation and vcri:\'aiion of this n-quest. Owner's signature I/y Date/ty/^*/af scheduled review meeimgs of the Planning Commission and Council, r an applicant S a //O /w