07-14-1997 Council Packet - Laserfiche WebLink

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REQUIRED SUBMITTALS ------- Completed Application Form. 2- ____Describe request in detail. P>^‘ ™ap (you RnL^^ r Hennepin County Department ofFinance, A-603, Government Center, 348-3271). -------bfomadon^^ Survey (signed by a licensed surveyor) - refer to handout for survey i’ -------description to application if not included on required survey -------Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). "an>« (“C>“de marital status) of all persons with an interest in fte prope^. This would include name(s) of applicant(s) if not current orvner(s). • ------- Construction p*an, if applicable (see staff for requirements). ' -------addendum to this application, please attach a separate list of any other persons you wish notified of this application. OF LARGE DOCUMENTS OR COPY SUBMITTED ^ SMALLER) FOR ALL DOCUMENiS sub^S) require to scale drawings of all documents, plans, etc. to be 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. Imtials of Clerical Staff:____________________£,3^^ APPLICANT'S SIGNATURE T^e applicant hereby agrees to provide all information required or requested by the Zoning Admimstrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incuired in review of this application, and certifies that the information supplied is true and correct to the best of his/her knowledge. Applicant’s signature ^ . Date OWNER’S SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Orvner's signature ___________Date ________ PlaSli?nrVTl!ir„ commission Mooting. In '^“''"8'/;' '■' <* 0." thW Monday of oach month. Applicants must bo prosont at schodiiloH m t' ^ i”'” Planning Commission and Council. If an applicant is unable to attond a BuilHin/* 7n an authorized agent attend in your place and advise theBuilding & Zoning Office of this change prior to the meeting. M