Laserfiche WebLink
REQUIRED SUBMITTALS <br />A <br />All of the fnllnwinff infonnafion must h* submitted bV tht aPPlKatlOH dttdl UH 111 <br />order for vour apniication to be coD«»dered complttfil <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form „ . , , . , / <br />Certified Property Owners List of owners within 150 , labels and plat (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Govt Center, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor) and mcli^e haMcover <br />calculations as required. In addition, provide one (1) copy 8/2 x 11 for <br />reproduction- <br />Topographic survev (e.xisting and proposed elevations) if any changes in existing <br />grtSe are proposed. In addition, provide one (1) copy 8-/," x 11” for repi^uctio^ <br />Sketches or plans of floor & elevation views (provide one (1) copy 8Y2 x 11 ). <br />List of the legal names (include marital status) of ail persons with an interest m <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remember that yttUE <br />nnniicnrinn is not co mnlete if Ihe qbQY? information ba« not bttn mtlud fiiL <br />information supplied is trup^^rrot to knowledge <br />Date -Applicant's Signature <br />OWNER'S SIGNATURE ' , . ui <br />The owner herebv acknowledges and agrees to this appUcation and further authorizes rei^onable <br />entry onto the propertv bv City staff, consultants, agents. Commission members, and Councu <br />members for purposes gi^^iigationjmd ^yeri^ion of this request. <br />Owner ’s Signature /Date <br />CoSon ”t^°Moly “h <br />moT Appncan« mus, be present a. aU scheduled review meetings of the Plannutg <br />& Zoning Office of this change pnor to the meeting. <br />8 <br />i <br />% t <br />• i •