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2. <br />J. <br />REQUIRED SUBMITTALS <br />1.___1:;^ Completed Application Form. <br />___Describe request in detail. <br />____Certified Property Owners List of owners within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of Finance, <br />A-603, Government Center, 348-3271 <br />^ Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />4. <br />5. <br />6. <br />Attach legal description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />7.'^^i-a^ist of the legal names (include 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 />8.____ Construction plan, if applicable (see staff for requirements). <br />9.____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 DOCUMENTS OR.COPY <br />FOR REPRODUCTION (II" 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 />APPLICANT’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 payment) <br />and/or unusual expenses incurred in review of tliis application, and certifies that the information <br />supplied is true and correct to the best of hijAer knowledge. <br />Applicant's signature Date /J~. <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, consultants, agents, commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's signature Date //7■h <br />AppUcant must have ail submittals into the City offices 2S days before the Planning Commission Meeting. <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at ail <br />scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a <br />scheduled meeting, please make arrangements to have an authorized agent attend in your place aiid advise the <br />Building & Zoning Office of this change prior to the meeting. <br />/ <br />cP ^ 3^ 7