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REQUIRED SUBMITTALS <br />1. / Completed Application Form <br />2. <br />3. <br />4. <br />5. <br />6. <br />/ Describe request in detail. <br />Cemfied Property Owners List of owners within 350’ (you can obtain this <br />Hennepin Couniy Depanment of Finance. A-603, Government Center, 348-32 1). <br />Plat Map. , , <br />Cenificate of Survey (signed by a licensed suneyor) - refer to handout tor survey <br />information. <br />Aiuch legal description to application if n<n included on required survey <br />8. <br />■ Topographic ar%ey (existing and proposed comours) if land alieraiions insolve <br />changes in elevation (grades). <br />« y • f <br />9. <br />10. <br />enanges m cicvuuuu . •« ,u^ <br />\ List of the legal names (include marital batus) of all persons with an interest in the <br />property-. This would include name(s) of applicant(s) if not current owner(s). <br />V Construction plan, if applicable isee statt tor requirements). <br />As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF <br />FOR REPRODUenON (11" X 17' OR SMALLER) FOR ALL DOCUME. TS <br />SUBMITTED. (Staff will require to scale drawings ot all documents, plans, etc. to <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Depanment that Land Use Application is complete. <br />Initials of Clerical Staff:^__________________________--------------------- <br />"unusual u,:pcnses tor«d in «v«w of Mlicalion. and cenifies .ha. .he mfonnadon <br />supplied is true and correct oLhisriJ^f knowledge. <br />Applicant’s signature „ Ix:Date <br />members for purpose/oLi^esiiga^n and verificatK^of this .equest. <br />Owner’s signatufre Date <br />ADDlicant must have all submittals into the City officM^S^torc the Planning Commission Meeting. <br />r^mmission Meetings arc held on the third Monday of each month. Applicants must be present at ;dl scheduled <br />of tSe Hamtbg Commtss.on and Council. If an applicant is unable to anend a scheduled mt^tmg <br />please make arrangements to have an authorized agent attend in your place and advise the Buildmg & Zoning Office <br />of this change prior to the meeting. <br />-■j-ivf-i— I r - —••ifcA'i.fc