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required submittals <br />• A % * <br />1. <br />2. <br />3. <br />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 <br />Finance, A-603, Government Center, 3^-22U). <br />Certificate of Survey (signed by a licensed surveyor) - refer to hau.l-ut for sur\-cy <br />information. . <br />Attach legal description to application if not included on required sur\-e%. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />List of the legal names (include marital status) of all persons with an interest m <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />Constaiction plan, if applicable (see 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 />vnii APF RFOUIRKD TO SUPPLY 30 COPIES OF LARGE DOCUMEN IS OR COPY <br />FOR ^pScTION^I r X I7- OR SMALLER) FOR ALL DOCUMEN'I^|v <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to <br />submitted.) <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />•V <br />Certification by Cierical Department that Land Use Application is complete. <br />Initials of Clerical Staff:.^----------------------------------------------------------------------_________v -^4. <br />Sf-.■ «*■ <br />infonnation supplied is tme^md-correct to^ best of/sdier knowledge. <br />Applicant's signature <br />d <br />Date <br />/i*-N , 4- <br />?hro™« Sy^taowlcd^ and i)^s to this application and further authorised <br />Jcasonabl^ entry onto the property by cliy staff, -"f <br />and Council .members for purposes of/nveshgation and verification of this^ <br />Owner's signature ---------------- <br />Applicaal man have llats iat^Jhe fr«mc=r?5 <br />Plaanins Commission Meetings are hetd on the third .^ppean, i, unable to attend a <br />all scheduled review meelings of .he Plannmg Commission nd “ W <br />scheduled meeting, please make anangemenls to have an aulhoriaed agent aUend >our p <br />Building & Zoning Office of this change prior to the meeting. <br />lOTII i i t