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REQUIRED SUBMITTALS <br />1. ____Completed Application Fonn. <br />X — "p";2;;r;-“o™e?sListofow„erswi^ <br />Hennepin County Department of Finance, A-603, Government Center, 348-3271). <br />5:-------CenSe of Survey (signed by a licensed surveyor) - refer to handout for survey <br />6 AraTlegal description to application if not included on requi^ survey. <br />7. Topographic survey (existing and proposed contours) if land alterations invol <br />8 U^o?tte 'eaarnMies (include marital sanis) of all persons with an interest m the <br />-------property. Th'is would include name(s) of applicant(s) if not current owner(s). <br />Q Construction plan, if applicable (see staff for requirements). <br />10. ------- As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />S^MITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. P^ase remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff;__________________________— • ” <br />The''aDrftaaJhcfe'S^ag^^ provide all information required or requested by the Zoning <br />rator aeree^s to pay additional fees (staff time not covered by original fee payment) <br />^ndrunuS ex'penses inJrred in review of this application, and certifies that the information <br />supplied is true and c^ect to the best of his/her knowledge. <br />Applicant’s signature Date <br />S^r^w“r\em'bv ^kl^edges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants, members, an <br />members for purposes^f investigation and verification of this request. <br />m c/V.DateOwner’s signature <br />U ,11 o.hntiinK into the Citv offices 25 davi before the Planning Commission Meeting. Plamiing <br />Applicaa. mus, ha . nl „f„ci.LnUi. Applicams must be present a. all scheduled <br />Commission * g . pQ^^ssion and Council If an applicant is unable to attend a scheduled meetmg. <br />Jietrr-d ad.ue the BuUdUig A Zoning Omc. <br />of this change prior to the meeting.