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2. <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />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 <br />Finance, A-603, Government Center, 348-3271). <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 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 w’ould include name(s) of applicant(s) if not current owner(s). <br />..I—^ 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 />5. <br />6. <br />7. <br />9. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (ll" 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 true an^corr^t to th^best of his/her knowledge. <br />Applicant's signature Date S A ’7-9^ <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entr>' onto the property by City staff, consultants, agents, commission members, <br />and Council members for purposes 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. If 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.