11-17-1997 Planning Packet - Laserfiche WebLink

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r 10>'2<»^97 11 = 25 RE IIRX EXCELSIOR 612S51«J943 F«ar : f*a«^««cr'ic SYSTEM pmOmE NO. t NO.072 002 Oct 24 199T 12:10RM R2 S12SS14Y4;. ^cvT rC-•ELC^^E’*” fUtOtIfKED submittals I. yC Completed Application Fcrm Describe reqv:«»t in. deuul. P02 i>:T 24 *77 10:13 ■B y T y•v,*»V 2. p. 4. 5. 6. 7. 8. 9. ^1 N CertlAed Property OvK-Tieri List of owners within ?50’, labcla end plet (you meet obtain this list, libels and map from Hennepin County Depattmeat of Finence, A-603, Government Censer, 3ea.327i) Cestificate of Survey (signed by a licensed surveyor) • refer to hauidout Ibr survey infonnstion. Attach legal d«criptior. to application if no; included on required survey, topographic survey (existing and proposed contours) if land alterations involve chaosea in elevation (grades). ^ist of the legal namea (include marital status) of a>* persons with an interest m the property. This would include iuune<s) of epplicant(s) if not coirent owneifa). Construction plan. If applicable (see staff for requiraments). As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. ■ - YOU AM MEQUntED TO SUPPLY JO COPIES OP rOR REPRODUCTION (11" X IT" OR SMAX.LER) FOR ALL DOCUMENT SUBMITTED. (Staff will require to scale drawings of all doctimsnta, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application. Plcasc fcmemboi tliat your application is not complete if the above infomuiUon has not been included. Cettlfloation by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:__________ ______PaW*.. ^ ■. — —. i --------- AFFLIC a NT ’S signature ^ ^ ^ 1 The applicant hereby agrees to provide all information required or requested by the Zoning Adminietrator, agrees to pay additional fees (staff time not covered by original fee p^mem) and/or unusual cxpaitscs incurred in review of this application, and certinas that the information supplied is true and^^o^ecpto the best of his/her knowledge. Applicant's signature Date X9'9JL OWNER'S SlGhtUmJL-.- ^ ._,a The owner hereby acknowledges and agrees to this application and further authonaeo raasonabla entry onto the property by City staff, consolrants. agents, commission members, and Council members for purposes ef investigation end verificaiion of this request. Owner's signature ------- Applicant must hava all tubminaU into iha ofTicas 25 <Iays bafof* As Planninf Commiuim Mss^g. PUnnlaa CommUsion Maetins* s*e haid on tha third Monday of each month Appllcantt etuat be praseat at all sebaduted review meetings of the Planning Commiss ‘»en and Council If aa srplicaai Is uneeie to scheduled meeting, please mi>y* e«Tatigemer.te to heva an authorized sgetu sneud le your plM# and edvisa tne Duitding A Zoning QiTica nf mis change prior to the meeting.