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FPl OS»:a8 AH I>F<EIL.IfiG AMD ASSOC. PC 314 231 2S9T P. 03 <br />*• •• ' <r \ ‘ *5-1t J - <br />A^->' .w <br />required SUBMITTAIS <br />All of frtllmvinp information inu5t bf submined bv tbg-applicii .tiflii_dia_(Hine d^t^Lu <br />0 nTrr f»r apnUration to be considered comoUty: <br />1. <br />3. <br />Completed Application Form <br />Certified Property 0%vners List of o\%-ners within 150’, labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department ot <br />Finance, A-603, Gox-t Center, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />* calculations as required. In addition, provide one (1) copy S'.'i" .\ IT tor <br />reproduction. <br />Topographic survey (existing and proposed elevations) if any changes in existing <br />• grade"rue proposed. In addition, provide one (1) copy 8'/;" x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy S'/^' x 11). <br />List of the legal names (include marital status) of all persons with an interest in <br />---- the propcit>'. This would include name(s) of applicant(s) if not currcni ownci(s) <br />As an addendum to this application, please attach a separate list of any other <br />persons you w'ish notified of tliis application. <br />Additional items as may be requested by City- staff. <br />The Applicant and Property Owner must sign this application. Please remember that your <br />vsiriance ai)pU.-aHnn is not complete if the ahovy infoymatiOP bai-llilUl£gll-intluikd. <br />TlK^tpplkant hereby' agrees to provide all intbnnaiion required or requested by the Zoning <br />Admii^^^trator. aerees to pay additional fees (staff time not covered by ongmal fee <br />and/or consultant expenses incurred in review of this applicaiion. and cerntie> mat . <br />infonnation supplied is true and correct to the best ot his/her knowledge <br />4. <br />5. <br />6. <br />7. <br />8. <br />Date >7/ V 7 <br />imd agries W this application atid furtlwr <br />^t^omo Utc propeny by City st.aff, consultants, agents Comnusston members, and Councl <br />members for purpioses of investigation and venfication of this request. <br />Owmefs Signatiue Cl:—Date <br />Applicant must hav: all subminals into the City- o«^es J5Ja^ '.JndV'd <br />Commission Meeting. Planning Commission , review meetings of the Planning <br />month. Applicants must ^ ^ is'^unlble to attend a scheduled meeting, please <br />Sr';!^:;:^m7.:s m ;a«^n aue^ m yo. place attd to advise the Building <br />Zoning Office of thi.s change prior to the meetmg.