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h <br />REQUI^D SUBMITTALS <br />1 , / Completed Application Form. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />-^^^cscnbe request in detail. <br />Certified Property 0^^•ners List of owners wathin 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 Suney (signed by a licensed surveyor) - refer to handout for surv’ey <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 w'ould include namefs) of applicant(s) if not current owner(s). <br />lonstruction 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 />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR 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 />iibmitted.) <br />The Applicant and Property Owner must this application. Please remember tliat your <br />application is not complete if the above ::}<or relation has not been included. <br />Certification by Clerical Department that 1 Use Application is complete. <br />Initials of Clerical Staff:________________________Date____________________________ <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, 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 ^l^correct to theTx^st of his/her knowledge. <br />Applicant's signature Date f 2^*^ { y 9 ~ <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry' onto the property bv Citystaff. consultants, agents, commission members, <br />and Council members for purpoy^^f invesfig^on and verification of this request. <br />Ow'ner ’s signature Date C <br />Applicant must have all subminals 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 atier.d a <br />scheduled meeting, please make arran<>ements to have an authorized agent attend in your piace and advise the <br />Building & Zoning Office of this change prior to the meeting.