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■ . <br />Ei>; • <br />{ <br />'A <br />required submittals <br />1. ____ Completed Application Fonn. <br />2 Describe request in detail. <br />■ Certified Property Owners List of owners within 350’, Inbc o and plat map (>ou <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Government Center. 3^-3ZZJ). <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. • i . . <br />Attach legal description to application if not included on required survev. <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 in <br />■ the property. This would include name(s) of applicant(s) if not current owner(s). <br />Construction 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 />vrm APF RFOUIRED TO SUPPLY 30 COPIFS OF LARGE DOCUMENIS OR <br />FOR ^pSc TION (11" X 17" OR SMALLER) FOR ALL DOCUMENIS^ <br />ICLmED. (Siaff will require to scale drawings of all doeuments, plans, etc. to >..3 <br />submitted.) <br />The Applicant and Property Ovvner must sign this application. <br />application is not complete if the above information has not been included. ^ (i <br />Certification by Clerical Department that Land Use Application is complete. - ^ <br />Initials of Clerical Staff:__-------------------------------------------------------------------------------‘ <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />^e*'tpplfcant Lfeb^agrees*\o provide all information requited or requested by tlie Zoning <br />information supplied is tjue^correct t^ best oyrts/hcr knowledg . <br />/ ______Dote ____Applicant's signature <br />rnTcouncil'membe"^^^ purposes of^vestigation and verification of this req^sf <br />. • / c TV tt' \n \ Date ------------Owner's signature f ----------------- 5'-) 0- fs <br />1. int^he c TT'oITwI's'Ts days before the Planning Commission Meeting. <br />Building & Zoning Office of this change prior to the meeting.