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required submittals <br />___ Completed Application Fonn. <br />2. _____ Describe request in detail. <br />------- Certified Property OwTicrs List of outers uithin 350*. labels and plat matf f>ou <br />must obton this list, labels and map from Hennepin County Department of Finance <br />^-603, Government Center, 348-3271). * <br />------- SbrmaUon^*^ Sur\ey (signed by a licensed surveyor) - refer to handout for surve>* <br />---- Attach legal description to application if not included on required survey. <br />----Topographic survey (existing and proposed contours) if land altcraUons involve <br />changes in elevation (grades). <br />---- List of the legal names luxludc marital status) of all persons uith an interest in the <br />property. This would include name(s) of applicant(s) if not current ou-ncr(s). <br />---- Construction plan, if applicable (sec 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 />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUiMEMS OR COPY <br />SUB\ll^TEi?*^y^fT^‘^ll^ S.MALLER) FOR ALL DOCUMENTS <br />submitted )^ of all documents, plans, etc. to be <br />The Applicant and Proper.y OvsTier must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Cenification by Clerical Department that Land Use Application is complete, <br />dmtials of Clencal Staff: <br />5. <br />6. <br />8. <br />9. <br />Date <br />APPLICANT'S SIGNATURE <br />Applicant's signature Date 2 oeS-T~ ^ <br />OWNER S SIGN.VrURE <br />-O this application and funhe, authorized reasonable <br />f ^ property by City staff, consultants, asenis. comm.ssion members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's signature_____Date <br />Applicant must have alt subminats into the Cit> offices 25 di\> before the Pimnin. r • • tt .• <br />PUnnini Commission Mmtinjs >te held on the Ihiri Monday oUach <br />scheduled review meelinjs of the Planninj Commission Jid Council If ,n T“ 'Hi*'/ <br />scheduled meeting, pleue male «rangemeou to base an » “tie » ««nd a <br />Building & Zoning OIKce of this change prior to the meeting ” “ <br />If/-. <br />^ ; <br />- J r* <br />W '1,^