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/H <br />2. <br />3. <br />REQUIRED SUBMITTALS <br />1.y 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 rnap from Hennepin County Department of <br />Finance, A-603, Government CenteiC^8-32 <br />^ Certificate of Survey (signed by a licensecT 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 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 require.ments). <br />____ As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11" 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 this application, and certifies that the <br />information supplied is correct to the best of his/her knowledge. <br />Applicant ’s signature Date lO/fgl-grg <br />OWNER’S SIGNATi___ <br />The ow ’ner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property b/ City staff, consultants, agents, commission members, <br />and Council members ^^^Pp&rposQS of investigation and verification of this request. <br />Owner's signature Date <br />Applicant must have all sUbmittals into the City offices 25 days before the Planning Commission Meeting. <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at <br />all scheduled review meetings of the Planning Commission and Council. !f an applicant is unable to attend a <br />scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the <br />Building & Zoning Office of this change prior to the meeting.