11-16-1998 Planning Packet - Laserfiche WebLink

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2. 3. REQUIRED SUBMITTALS 1. X Completed Application Form. __Describe request in detail. Certified Property Owners List of owners within 350, labels and plat map (you must obtain this list, labels and map from Hennepin County Department of Finance, A-603, Government Center, 348-3271). Certificate of Surv’ey (signed by a licensed surveyor) - refer to handout for survey information. Attach legal description to application if not included on required survey. __Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). __ List of the legal names (include marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). __ Construction plan, if applicable (see staff for requirements). As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale dravrings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:__________________________Date__--------------------------------- 4. 5. 6. 7. 8. 9. APPLICANT’S SIGNATURE ^ ^ u ^ • The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incused in review of this application, and certifies that the information supplied is true and correc^l^o ^ihe best of his/her knowledge. Applicant’s signature '7 /1 ^ Date/ 7 OWNER'S SIGNATURE ^ ^ ^ ^ ' .a The owner hereby acknowledges and agrees to this application and further aut onz reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members forpup^os^ of investigation and verification of this request. Date {oAv>/?X / •Owner's signature scheduled meeting, please ma.V:c an-angemcnls to have an authorized agent attend m >our place an a vn Building &. Zoning Office of this change prior to the meeting. ■V ft • • • * . .. * M ♦* I V . • <•' •! .» ,* ^ c------3if L O c V- - N