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REQUIRED SUBMITTALS <br />L ±:^ Completed Application Form <br />2- ^ Certified Property Owners List of owners within 150', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Fmance, A-603, Govt Center, 348-5910). <br />---- Ceitificatc of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 81^" x 11" for <br />reproduction. <br />---- To^graphic survey (existing and proposed elevations) if any changes in existing <br />^de are proj^sed. In addition, provide one (1) copy SV2” x 11" for reproducUon. <br />---- Sketches or plans of floor & elevation views (provide one (1) copy 814" x 11") <br />---- List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />---- s an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />__ Additional items as may be requested by City staff. <br />pie Applicant and Property Owner must sign this application. Please remember that vour <br />mriaptt applkation i» not campMe if the above information hnVnnt h.en inri„HpH <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Admimstrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />Md/or consultant expenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />'~^l'<gyKao7. Dale 9-n~zooz- <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the property by City staff, consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s Signature _ Date 7JOO?. <br />Applicant must have all submittals into the City offices 25 days before the Planning <br />Commission Meeting. Planning Commission Meetings are held on the third Monday of each <br />month. Applicants must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled meeting please <br />make ^gements to have an authorized agent attend in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting. * <br />J.\>. <br />(/ U