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REQUIRED SUBMITTALS <br />^ I • <br />1. <br />2. <br />J. <br />4. <br />D. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <br />CertiEed Property Owners List of owners within 350 ’, labels and plat map (you <br />must obtain this list, labels and map Eom 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 surtny <br />Attach lecal description to application if not tncluded on requrred survey. <br />Topographic survey (existing and proposed contours) if land alterations mvolve <br />changes in elevation (grades). <br />List of the legal names (include marital status) of all persons with an interest in <br />die Dtooertv 'This would include name(s) of applicant(s) if not current owner(s). <br />ConsSn plan, if applicable (see staff for requirements). <br />As an. addendum to this application, please attach a separate hst of any o e <br />persons you wish notified ot this application. <br />SUBMITTED. (Staff will require to scale drawings ot all documents, plans, etc. to e <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above intormation has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:-------------------------------------------------------------— <br />applicant hereby agrees to provide all information required or f ® <br />Admimstrator, agrees to pay additional fees (staff time not covered ongmd fee p^ment) <br />and/or unusual expenses incurred in review of this application and certifies that <br />information supplied is true and corr^ «uthe-hesi of hisAier knowledge. <br />Applicant's signatur Date <br />The owner herebv acknowledges and agrees to this application and further <br />i^asonable entrv onto the property by City staff, consultants, agents, commission members, <br />and Council members for purposes of investigation and verification of this request <br />___-z/o/ Date ----- <br />all sdbmittals into the City oniccs 25 days betore. d/tbmirtals into the City offices 25 davs before the Planning Commission Meeting. <br />Applicant mus are held on the third Monday o( each month. Applicanu must be ^ <br />TT^f.rrev“rm«^e?of Ptouis Coernmiioa and Council. If an applicant is unable «> attend a <br />Building & Zoning Office of this change poor to the meeting. <br />4