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2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />^ ™ us. Of owners labels ar. « (you <br />must obtain this list, labels and map from Hennepm County Department of Finance. <br />A-603, Government Center, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for surv y <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 />Li^rf'the fegarn^KOnclude marital sams) of all persons with an interest in the <br />property This would include name(s) of applicant(s) if not current owner(). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. _ , J~1T^ <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, .tc. t <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />applicatfon is not complete if the above information has not been mcluded. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:__________________________ <br />^PLICANT S SIGNAT^^ information required or requested by the Zoning <br />MmiriS agrees to pay additional fees (staff time not covered by original fee payment) <br />atXTunusual e.xpenses incurred in review of this application, and certifies that the information <br />supplied is true and correct to die loi^e ge. <br />Applicant’s signature,Date ^ ^ <br />^mbers for pSrpLs o^investiga^and verif.e^n of this request. <br />Owner’s signature f /xitc <br />^ auconacd agent onend inyour place and advise die Bnilding Sr Zoning Offlee <br />of this change prior to the meeting.