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6129755345 <br />*:• <br />irf <br />FROM : Panasonic fax system phone no. : 6129755345 <br />05 13 CO 17:59 EPOir-i. ELDG -IGRP - *'129755345 <br />May. 13 2000 07:10PM PJ <br />1*0. .tiC C02 <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Describe request in detail. <br />Certified Property Owners Lis: of ov^mers wjthir(350^ <br />must obtain this list, labels and map from HennepinC^ <br />A-603, Government Center, 148-327 n. H O ) <br />2. <br />3. <br />4. <br />5. <br />6 <br />8. <br />9 <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 />Topographic survey (existing and prop>oted contours) if land alterations involve <br />changes in elevation (grades). <br />List of the legal names (include marital status) of ail persons with an interest in the <br />property. This would include name(s) of applicant(s) if not current o\vner(s). <br />Construction plan, if applicable (see staff for requirements) <br />As an addendum to this applicationi 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 (ir* X 17" OR SMALLER) FOR ALL DOCLTVffiNTS <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Proper.y 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 />'fhe applicant hereby ogrees to provide all Information required or requested by the Zoning <br />Administrator, agreea^irpty^ddiiional fccs,;(«t«f!Nime not covered by original fee payment) <br />and/or unusual c.’^enses incur^ in fcviev'^fibi^f^ppUcation, and cenifies that ihe information <br />supplied is true and coirecl to the besVofm^gr knowledge. <br />Applicant's signature Date <br />^OWNE^ SIGNATURE <br />Tfie own« hereby ncknowledges and agrees to this application and ftuther authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members, and Council <br />members for purposes ^^^vestigation^ verification of this request. <br />Owner's ^ __________Date . J3/^OVt) <br />7 <br />Applicant muit have all into the Cir> ofTiccs 25 before the Plannins Commission MtetiAg. <br />Planning Comnr.tssicn Meetings ara held on the third Monday of each month. Applicants must be preset it ill <br />scheduled review mtetings of the Planning Commission and Council. If an applicant is unable to aiund i <br />scheduled meeting, please make arrangements to hive an authorized agent sttend in your place and advise the <br />B'jildirg II Zoning Office of this change prior to the meeting.