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Auci-19-98 08:51A Adam Smith Proper-t Ics , LLC <br />>*iLE No. 08.-19 ’98 06:44 ID:T0LD DEVELlJPrtNT 6l2 420 7574 <br />P.02 <br />PhGE 2 <br />REQUIRED SSUBMITTALS <br />1. <br />2. <br />3. <br />5. <br />6. <br />7. <br />8. <br />y. <br />Completed Application Form. <br />Describe request in detail. <br />Cenified Property Owners List of owners ^vithin 350', labels and plat map (you <br />must obtain this li?». ’.ribels and map from Hennepin Counry Depanmeni of <br />Finance, A-603, Go*r:‘nn:fnt Center, 348-3271). <br />Ceniticaic 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 would include name(s) of applicant(s) if not current owtier(s). <br />Construction plan, if applicable (sec 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 />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (il" X 17'* OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require to scale drawings of all document, 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 •ncluded. <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 unusu.».l expe.-.ses iacuned in review of this application, and certifies that the <br />informaiior. supplied is true and correct to the best of his^er knowledge. <br />Applica.nt's signature Date <br />OWNER'S SIGNATURE <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 investigation and verification of this request. <br />Owner's signature O- --------Date ——-------- <br />Applicii.i mmi hive ill lubmiiuli into ihc CJiy offices 25 days before the Ptanninj Commission Meeting. <br />Plann'uig Commisiion Meiicigs are held cn the thud Monday of each month. Applieanu must be present at <br />all scheduled review rr.enins* of iha Planning Ccmmliilon and Council. If an applicant u unable to anend a <br />iMM msslinil IBlfcl W auai^liaed ajent .send in jour plsce and advise the <br />Building dt Zoning Office of this change prior to the meeting. <br />-t <br />r- -.-'7'. \ <br />• • <br />VL * . <br />•#.’ ~J <br />'^-;4 ■' « V-a