02-19-2002 Planning Packet - Laserfiche WebLink

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I 2. 3. c»** <r X ' REQUIRED SUBMITTALS I* ____Completed Application Form. ____Describe request in detail. Certified Property Owners List of owners within 350’, labels and plat map (you must obtam this list, labels and map from Hennepin County Department of Finance A-603, Government Center, 348-3271). -------Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey — Attach leg^ 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 marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s) Copstruction 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 REPRODUCTION (tl" X 17" OR SMALLER) FOR ALL DOn[^l>>»TS ^.UBMITTED. (Staff will require to scale drawings of all documents. p..n. ^ i<ibmitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information Im not been included. Certification by Clerical Department that Land Use Application is complete Initials of Clerical Staff:_______________________Date 5. 6. 7. 8. APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Adnurustrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied IS true and correct to the best of his/her knowledge. Applicant's signature -------------------- A OWNER'S SIGNATURE The o\wer hereby acknowledges and agrees to this application and further authorized reasonable entry onto the propeity by City staff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Date ^j/^2 Owner's signature Date ^2. AppUcint must have ijU submitUls into the Cry offices 25 days before the Planning Commission Meeting f »he third Monday of each month. Applicants must be present at f 1 jj *<r\ » * •