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1. <br />2. <br />3. <br />REQUIRED SUBMITTALS <br />____ Completed Application Form. <br />____ Describe request in detail. <br />____ Certified Property Ovv-ners List of o\\-ners within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance. A-603, Government Center, 348-3271). <br />____ Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <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 />changes in elevation (grades). <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 ovvneifs). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />\OU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />MR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUB.MITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />vuciaitted.) <br />^iie Applicant and Property Owner must sign this application. Please that your <br />application is not complete if the above infomiation has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:___________________________Date------------------------------------- <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />APPLICANTS SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Admimstrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />Date hi.Applicant's signature n />* 7 (J >.tt n <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property ’ by City staff, consultants, agents, commission members, <br />and Council members for purposes of investigation and verification of this request. <br />Owner's signature Date <br />Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at <br />all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a <br />scheduled meeting, please make arrangements to have an authorized agent anend in your place and advise the <br />Building & Zoning Office of this change prior to the meeting.