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V J <br />»• <br />% <br />i <br />.i <br />» • <br />K>- <br />2. <br />j. <br />dtREQUIRED SUBMITTALS <br />1. _____ Completed Application Form. <br />Describe request in detail. ji /. <br />Cenified Propem* Owners List of owners within 350, labels and plat map f>ou <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Government Center, 348-.>271). , . r <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. . . . , • j <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 (pi-ades). <br />List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />Construction 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 />D. <br />6. <br />7. <br />8. <br />9. <br />SuLmm (S«ff wll rcqui« to scale dra^sings of all documents, plans, etc. to be <br />submitted.) <br />The Applic«.t and Property Ouner must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:^--------------------------------------------------------------- <br />ThiftiS^ Lfeb^-^agretfm provide all information required or requested by the Zoning <br />Id^frSs^mr a^^es to pay addhional fees (staff time not covered by original fee payment) <br />Lurred in review of -Ws application and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant’s signature Date----- <br />ThTl^^e^rliere^y to this application and further authonzed <br />entrv Lo the property by City staff, consultants, agents, commission members, <br />and Council members for purposes of investigation and venfication of t^s request. <br />Planning Commission Commission and Council. If an applicant is unable to attend a <br />arumgemenu ro have an audrorizad agan. anend in your place and advise .he <br />Building & Zoning Office of this change pnor to the meeting. <br />I <br />MaMOMliliti