01-23-1995 Council Packet - Laserfiche WebLink

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REQU^D SUBMITTALS Completed Application Form. Descnbe request in detail. 1. 2. I / lC4Uta*. uj uviuw. , 1. • . • f r Cemtied Propert>- Owners List of owners within 350 (you can obtain this list from Hennepin County Department ot Finance, A-603, Government Center, 348-j271). 5- r,n ha Cenificate of Surv'ey (signed by a licensed surveyor) - refer to handout for survey information. . 6. ^A) hVx, Attach legal description to application if not included on required survey. 7 yy Topographic survey (existing and proposed contours) if land alterations involve y^hanges in elevation (grades). _ 8 t/ List of the legal names (include marital satus) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). 9. fjfi' Construction plan, if applicable (see staff for requirements). 10. H/j^ As an addendum to this application, please attach a separate list of any other persons vou wish notified of this application. YOU ARE required TO SLTPLY 30 COPIES OF LARGE DOCL^IENTS OR COPY FOR^P^DLCTON (U " X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to e submitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Depanment that Land Use Application is complete. Initials of Clerical Staff;^__________________________----------------------------------------- APPLICANT’S SIGNATURE . u .k 7«n5nc The applicant hereby agrees to provide all information required or requested by the Zonmg Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incuaed in review of this application, and certifies that the information • • - ^ the b0groT\his/her know ledge. Applicant ’s signature y ^ ~ ~ OWNER’S SIGNATURE . ., The owner hereby acknowledges and agrees to this application and further authorize entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of^vesti^ariCrrynd verification of this request. owner's signnrure _Az_^2 _________JldMl------------- Applicant must have all subtmnals into the City otTices 25 days before the Planning Commission Jl^n^ Commission Mcetmgs arc held on the third Monday of each month. Applicants must be present at - review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled »• pleSrrie^Ligements to have an authonzed agent attend in your place and advise the Building & Zonmg Office of this change prior to the meeting.