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REQUIRED SUBMITTALS <br />All of the follrming information must submittfd I>v the applic ati< <br />for vQur 3DDlication to considcrc<l <br />tie in order <br />3i <br />4. <br />'X <br />6. <br />7. <br />8. <br />9. <br />Cenified Propem Owners List ol^owners within 150 (you must obum fr <br />“ Hennepin County Deparanent of Finance, A-60.', Govt Center, 348-J.71), <br />Plat Map (obtained with property owners list), j , , i,„,j„„„„ <br />” Cemficate of Sutsey (signed by a licensed surveyor me ude <br />“calculations as required. In addition, provide one (1) copy 8/5 x 11 for <br />ZovmpWc surv ev (existing and proposed elevaiions) if any changes in existing grade <br />~ are proposed. In addition, provide one 0) copy S‘A x <br />Sketches or plans of Ooor S; elevation views (provide one (1) copy 8/5 x 11 ), <br />- LUt oTthe leaal names (include marital sums) of all persons with an mteres m the <br />- oropem. This would include name(s) of applicant(s) if not current ownerts), <br />L LTddendum to this application, please atuch a separate list of any other persons <br />vou 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 th« jaail <br />vwriwnr, annlicftion is not complete if Hw «l)oyf infqPlWtWn hM n«H t)wn intlwjttl. <br />Tlf appl^ Lreby^ag^^^m provide all infoimaticn required or request^ by the Zoi^ <br />MmWstrator aerees to pav additional fees (suff time not covered by ongmal fee <br />" c”mutom expenis i»:urred in review of this »PP~ “<> <br />information supplied is mie and correci;2sM^ best of his/her knowledge. <br />Applicant’s Sienatme^^G'/lU Date <br />Ttewner hereby acknowledges and agrees to this application and filler “ j, <br />entry onto the pretty by City suff, consulunts, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s Signature CcyLy-i Date s/aa/a <br />Anolicam must have all submituls into the City offices 25 days before the Planning Co®””'®" <br />nv Platan Commission Meetings are held on the third Monday of each n^oi^. <br />A^n cLts muTbe p^l at all scheduled review meetings of the Planning Commission <br />^d ColdrifaS applicant is unable to attend a scheduled meeting, please m^ <br />to have an authorized agent attend in your place and to advise the Buildmg & Zotung Off <br />this change prior to the meeting. <br />8