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REQUIRED SUBMITTALS <br />All „r fniio'vin^ h, .»hmittedj.v ,hf wpljwti»n deadline dat^. Korto <br />for vour application to be considered <br />of owners w itto 1 <_0' (you must f list from <br />Hennepin County Department ol Finance. A-60a. Com Center. a43-a.71). <br />'^lat Map (obtaineu with property owners list). . . , , <br />■p^Cenifreate of Sutwey (signed by a licensed surveyor and include h«dcover <br />~ calculations as required. In addition, provide one (1) copy 8/: x 11 for <br />T'oCraphic suney (e.xisting and proposed elevations)Jf any changes in existing grade <br />Tn Tr?r!iTi(yn nrovide one (1) copy 8‘/^ X 11 tor reproduction. <br />1. <br />*) <br />4. <br />^sSS'plam ifSi^l-urvlew^rpm^ld: o ‘nl\;r;oj'’8‘;t-1 lU <br />— List of the legal names (include marital status) ol all persons with an interest in the <br />oropetTv This would include name(s) of applicant(s) if no» current owner(s). <br />__ As Tn addendum to this application, please attach a separate list ot any other persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff. <br />5. <br />6. <br />7. <br />8. <br />9. <br />The Applicant and Property Owner must sign this application. Please ^ember that vfiUE <br />wnnliratinn is not complete if thV information ItM hftt iKen IPcMtuL <br />ThiTappfc^ Lfe'by^agre«^ provide all information required or requested by the Zoning <br />Hms am! agrees to pay additional fees (suff time not covered by ongmal fee payment) <br />"^,:suU^exp:nsL^ncurred in review of -Ms application and certtfes dmt the <br />information supplied is true and correct to the best of his/her knowledge. <br />^ Date <br />?i^feSv acknowledges and agrees to this applicauon and further auAorizes rea»^ <br />entry onto the property by City staff, consultants, apnts. Commission members, and Cot ncil <br />members for purpos^vof investigation aM verification of this request. . j <br />I /g.llV-) h^LljJxLj __Date _ b I H <br />AoDlicant must have all submittals into the City offices 25 days before the Planning Coi^ission <br />Meeting Planning Commission Meetings are held on the third Monday of each mo^ <br />Applicants must be present at aU scheduled review meetings of the Planning Co"^ton <br />aild CouncU. If an applicant is unable to attend a scheduled meetmg, please m^e arrangement <br />to have an authorized agent anend in your place and to advise the Building «fe Zomng Offic <br />this change prior to the meeting. <br />Owner’s Signature <br />8