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© <br />REQUIRED SUBMITTALS <br />.h. f^iinwin. informati.'n m..g he submiited bv tht unnlitMion ^M4lir«-!ial«-in <br />nrrigr fftr vour application to be considgrcd PPHIPktti <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, Gov't 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'/2" x 11 for <br />reproduction. , • „ <br />Topographic survey (existing and proposed elevations) if any changes in existing <br />"" grade are proposed. In addition, provide one (1) copy m' x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8/2 x K ). <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 owner(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 />Applicant and Property Owner must sign this application. Please remember that yflar <br />application is nnt complete if the above information haS PPf <br />APPLICANT’S SIGNATURE ^ u .Uo y^nina <br />The applicant hereby agrees to provide all information required or requested <br />Admiidstrator. tgrees to pay additional fees (staff time not coveted by onginal fee Paym««) <br />and/or consultant expenses incurred in review of this application and certifies that <br />information supplied is true and correct to the best of his/her knowledge. <br />4. <br />0. <br />(3 <br />8. <br />Applicant’s Signature Date <br />^r^wTOr\ereby alJf^edges and agrees to Ms application and further authorizes rei^onable <br />entry onto the property by City staff, consultants, agents, Commission members, and <br />members for purposes of investigation and verification of this request. <br />DateOwner’s Signature ------------------------------------------------- <br />Applicant must have all submittals into the City offices 25 days <br />CoLission Meeting. Planning Commission Meetings are held on ^ <br />month Annlicants must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a “h'du'sd <br />make anangements to have an authorized agent anend in your place and to advise the Build g <br />& Zoning Office of this change prior to the meeting. <br />8