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<3 <br />I •S <br />t'i <br />- ^ <br />- < <br />4* <br />3 ^ <br />3 <br />REQUIRED SUBMITTALS <br />All of the following information h** «Jbniitted bv the application_de^<tlin^ |n.9r4€E <br />for vour application to be considered complgtei <br />< “ <br />u / <br />1. <br />2. <br />b <br />^4. <br />5. <br />3 6. <br />7. <br />8. <br />9. <br />Completed Application Form ........... <br />Certified Property Owners List of owners within 150’ (you must obtam this list from <br />Hennepin County Department of Finance, A-603, Govt Center, 348-3271). <br />Plat Map (obtained with property owners list). , . . , ^ <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8'A" x IT for <br />Topographic survev (existing and proposed elevations) if any changes in existing grade <br />are proposed. In addition, provide one (1) copy 8>^" x ll" for reproduction <br />Sketches or plans of floor & elevation views (provide one (1) copy 8 A x 11 ). <br />List of the legal names (include marital status) of all persons with an interest in the <br />property. This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please anach a separate list of any other persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff. <br />.u- (n*'*i* > <br />The Applicant and Property Owner must sign this application. Please remember to mu. <br />varianre annlifatinn U not complete if the above infOnPitlPh IW <H»t <KeH IPCitllltfl. <br />APPLICANT’S SIGNATURE ^ a. i. -r • <br />The applicant hereby agrees to provide all information required or requested by the Zomng <br />Administrator, agrees to pay additional fees (staff lime not covered by onginal fee paymem) <br />and/or consultant expenses incurred in review of this applicauon. and certifies that the <br />information supplied is tru^;^!^c^t to the best of his/her knowledge. <br />Date ^ ‘ ^ ^Applicant’s Signamre <br />OWNER’S SIGNATURE '—' . waa <br />The owner hereby acknowledges and agrees to this application and filler authorizes reasonab <br />entry onto the property by City staff, consultants, agents. Commission members, and Councu <br />members for purposes (^Investigation^ndjeripcation of this request. <br />, Date /^§1 <br />. submits i <br />Owner’s Signature <br />Annlicant must have all^'miLs into the City offices 25 days before the Planniiy Commission <br />Meeting. Planning Commission Meetings are held on the third Monday of each mon . <br />AppUcants must be present at aU scheduled review meetings of the Planning Commission <br />and Council. If an applicant is unable to attend a scheduled meeting, please make ^rra^ments <br />to have an authorized agent attend in your place and to advise the Building & Zoning Office o <br />this change prior to the meeting. <br />8