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REQUIRED SUBMITTALS <br />1. f^Completed Application Form. <br />✓ Describe request in detail.2. <br />3. <br />4. <br />^ Certified Property Owners List of owners within 350', labels and plat map (you <br />must obtain this list, labels and map fiom Hennepin County Department of Finance <br />A-603, Government Center, 348-3271). ’ <br />5. <br />6. <br />7. <br />8. <br />9. <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />iW.. Attach legal description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations mvolve <br />changes in elevation (grades). <br />List of the legal names Cmclude 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 />-r^.. As an addendum to ^s application, please attach a separate list of any other <br />persons you wish notified of this application. <br />VOU ARE REQUIRED TO JSUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUenON (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 />rhe Appliewt 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 />APPLICANT’S SIGNATURE <br />rhe 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 payment) <br />md/or unusual expenses incurred m review of this application, and certifies that the information <br />iupplied is true and correct to the best of his/her knowledge. <br />Applicant's __Date ^ £>:2— <br />OWNER'S SIGNATURE <br />fhe owner hereby acknowledges and agrees to this application and further authorized rea^nable <br />;ntiy onto the property by City staff, consultants, agents, commission members, and Council <br />nembers for purposes of investigation and verification of this request. <br />Dwnet’s signature^---^g^%^!^..<,^ufc<> Date B r ^ ^ <br />Applicant must have all submittals Into the City ofnees 25 days before Che Planning Commission Meeting, <br />’lanning Commission Meetings are held on the third Monday of each month. Applicants must be present at alt <br />cheduled review meetings of the Planning Commission and Council If on applicant Is unable to attend a <br />■cheduled meeting, please make arrangements to have an authorized agent attend in your place arid advise the <br />Juildiog Sc Zoning Office of this change prior to die meeting. <br />u Q O- <br />'T i^lJ J ^