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REQUIRED SURMTITALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Fonn. <br />Describe request in detaU. <br />Certified Property Owners List of owners within 350', labels and plat miq> (you <br />must obtain this Ust, labels and map from Hennepin County Departme^^of Finance, <br />A-603, Government Center, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor; - rerer to nandout tor survey <br />infoimafioa. <br />Attach legal descripdon to appliciition if not included on required survey. <br />Topographic stirvey (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 die <br />property. This would include naine(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (lee staff for requirements). <br />As an addendum to ^s application, please attach a separate list of any other <br />persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (ir* X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED, (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above infoimarion not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff;__________________________Date <br />APPUCANT'S SIGNATURE <br />The applicant hereby agrees to provide all uiformation required or requested by the 7nn?ng <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred in review of this application, and certifies that the information <br />supplied is true and correct to the best of hu/her Imowledge. <br />Applicant's signature Date ^ ♦ f?» 0*2-.,_____ <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, consuliams, agents, commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's signarure Date <br />AppUcaot must have all submittals ioro the City ofllces 25 days belbre the Plutniog Commisiloo Meeting. <br />Plaiming Commission Meetings are held oo tiie diird Monday of each month. Applicants must be present at all <br />scheduled review meetings of the Planning Commisi ion and Council. Tf an applicant is unable to a <br />scheduled meetiag, please make anugemenu to have an authorized agent attend in your place and advbe the <br />Building A Zoning Office of this change prior to the meeting. <br />rr r.j j <br />A <br />•A-' <br />« • <br />\.y