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REQUIRED SUBMITTALS <br />1. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <br />Certified Property Owners List of owners within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of Finance, <br />A-603, Government Center, 348-3271). <br />Certificate ot Survey (signed by a licen.sed surveyor) - refer to handout for survey <br />information. <br />Attach legal description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />List of the legal 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 />rersons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY <' OPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11" V r > n SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will requi.c drawings of ail documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is mit complete it the above information has not been included. <br />Certification by Clerical Department that Land Use .Application is complete. <br />Initials of Clerical Staff:_____ Daie <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide ill information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred in re\ iew of this application, and certifies that the information <br />supplied is true and correct to the be^t of his. her knowledge. <br />A <br />Applicant's signature Date <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members, and Council <br />members for purposes of investigation and \erification of this request. <br />St Date y 2' # *1 ** ZOo/ <br />Applicant must have all submittals into the Cit> offices 25 days before the Planning Commission Meeting <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all <br />scheduled review meetings of the Planning Commission and Council. If an applicant is unable to anend a <br />scheduled meeting, please make arrangements to have an authorized agent anend in your place and advise the <br />Building Zoning Office of this change prior to the meeting <br />’ •• <br />f ‘i . * <br />jj <br />i <br />Jl