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REQ <br />2. <br />3. <br />6. <br />8. <br />9. <br />SUBiVUTTALS <br />__ Completed Application Form. <br />Describe request in detail. <br />t/^ Certified Property Ov^-ners List of owners within 350*, labels and plat map (you <br />must obtam this list, labels and map from Hennepin County I^artmcnt of Fiiumce, <br />A-603, Government Center, 348*3271). lyWiO SH?- <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />___ Attach legal description to application if not included on required survey. <br />^Ijt_ 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 namc(s) of applicanl(s) if not current owncr(s). <br />\ZfA Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />f\oJULL <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11'* 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 information has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:_________________ Date <br />APPLICAIST'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee pavment) <br />and/or unusual expenses incurred in review of this application, and certifies that the information <br />supplied is true and correct to^e best of his^l^ Imow ledge. <br />Applicant ’s signature ^ ___ <br />OWTVER’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 t^mvestigation and v^fication of this request. <br />DaleOwner's signature <br />/ / <br />Appticam must have all i^minals Into the Cit> offices 23 da)s before the Planning Commission Meeting. <br />Planning Commission Meetings are held on the third Mondav of each month. Applicants must be present tt all <br />Kheduled review meetings of the Planning Commission and Council. If in applicant is unable to attend a <br />scheduled meeting, please moke arrangements to have an authorized agent anend in your place and advise the <br />Building ft Zoning Office of this change prior to the meeting. <br />O Ok <br />O -vJ