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REQUIRED SUBMITTALS <br />___Completed Application Form. <br />Describe rcQuest in detail. ,, . ^ <br />-----Certified Propertv Owners List of owners within 350’ (you can obtain this list from <br />----- Hennepin County' Department of Finance, A-603, Government Center, 348-3271). <br />----- Cen ^iTtc of Survey (signed by a licensed surveyor) - refer to handout for survey <br />Arach legal description to application if not included on requ^ survey. <br />-----Topographic survey (e.sisting and proposed contoun) if land alterations involve <br />chanscs in elevation (grades). • <br />List of the leeal names (include marital sams) of all persons with an mterest in the <br />----- propertv This would include name(s) of appiicant(s) if not current owner(s). <br />Constnirtion plan, if applicable (see staff for requirements). <br />As an addendum to this application, please anach a separate list of any other persons <br />vou wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF <br />vnn reproduction (ll" X 17" OR SMALLER) FOR ALL DOCUMENT <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Propeny Owner must sign this application. Plea« remember that your <br />application is not complete if the above informav.un has not been included. <br />Certification by Clerical Department that Und Use Application is complete. <br />Initials of Clerical Staff: -------—-------------------- <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />/. <br />8. <br />9. <br />10. <br />The*anSt^ tereby^Mn^s"m provide /l inforniation required or requested by the Zoning <br />^mWs^Z ««Is m Jay addTnal L (suT time not coveted by original fee paymem) <br />^/or unusual elpens^&urred £ revi/w of thjLiplicMion. and cerofies that the information <br />supplied is true and cJ^t to thi b«t faf his/W^wledge. <br />Date 2-M <br />Applicant’s signam] <br />SI^L*here*by Mk^Idges and agrees to this application <br />entry onto the property bv City staff, consultants, agents, commission members, and Counc <br />members for purposes of investigation and verificauon of this request. <br />DateOwner’s signature ___________________—------------------ <br />Applicant must have all submitlals into the City offtca 25 days before the Plt^g <br />Coranission Meetings are held on the third Monday of each month. Applicants must be <br />review meetings of the Planning Commission and Council. If an appliMM ^ Zoning Office <br />please make arrangements to have an authorized agent attend m your place and advise the Build g <br />of this change prior to the meeting.