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12/20-'96 FRI 12:00 FAX 612 478 8080 <br />□•C-20-96 10:12A <br />T0L-0-)L\TIC <br />v7 5- OS/o <br />/i <br />@000 <br />P . 03 <br />IS <br />UKQUIRFJ) SUDMITTALS I / <br />All of Hic follnwitip information must l>c subnuHftil liv the iinplic;itii>n tlcnillinc tliWu it» <br />order for VQiir npplienUon to be considered comnlctct <br />» I <br />2. <br />3. <br />4. <br />5; <br />6. <br />7. <br />8. <br />Completed Application Form <br />Certified Property Owners List of owners within 150', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance. A-603, Govt Center, 348*3271). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8’/j" x 11'■ for <br />reproduction. <br />Topographic survey (existing and proposed elevations) if any changes in existing <br />grade ore proposed. In addition, provide onc (I) copy 8'/i” x 1 I" for reproduction. <br />.Sketches or plans of floor & elevation views (provide one (1) copy 8'/a" x 11"). <br />List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include namc(s) of applicant(s) if not current owncr(s). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Properly Owner imusl sign this application. Please remember that yotir <br />vnrlnncc application U not cnmnlcte If the nhnvc information lins not been included. <br />AIM'UCANT'S SIGNATURK <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff lime not covered by original fee payment) <br />and/or consultant e.xpenses incurred in review of this applicalion, and ceriifics Ihnl the <br />information supplied is true and correct to the best his/her knowledge. <br />Date 7k^. />. <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the property by City^>t^ff, -onsultants, agents, Commission mcnibers, and Council <br />members for pvirposcs ol j^^e§)i^tioi"i antTV^/ilicalion of this request <br />DoteOwner's Sigonture <br />Applicant must have all submittals into the City offices 25 days’ before the Planning <br />Commission Meeting. Planning Commission Meetings are held on the third Mond.iy of each <br />month. Applicants must be present at nil scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled meeting, please <br />make arrangements to have an authorized agent attend in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting. <br />8