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REQXnRED SUB^TTALS <br />1. Completed Application Form. <br />2. ____ Describe request in detail. <br />3. "jC Certified Property Owners List of owners within 350*. labels and plat map (you <br />must obtain this list, labels and map from Hermepin County Department of <br />Finance, A-603, Government Center, 348-3271). <br />4. X Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />5. Attach legal description to application if not included on required survey. <br />6. X Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />7. < 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 />8. ____ Construction plan, if applicable (see staff for requirements). <br />9. ____ As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />/ <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 tune 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 tr^ and correct to the best of his/her knowledge. <br />kApplicant's sign Date <br />OWTSTR’S SIG'NATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property by City staff, consultants, agents, commission members, <br />and Council members for. purposes of iiwestigation and verification of this request. <br />Owner's signature Date <br />Applicant must 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 atten a <br />scheduled meeting, please ma.ke arrangements to have an authorized agent attend in your place and advise the <br />Building & Zoning Office of this change prior to the meeting. <br />.L-