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REQUIRED SUBMITTALS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <br />Certified Property Owners List of owiars within 350 ’, labels and plat map (you <br />must obtain th. Mst. labels and map from Hennepin Count}’ Department of Finance, <br />A-603, Government Center, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />Attach legal description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). . <br />List of the legal names (include marital satus) of all persons with an interest in the <br />property. This would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (sec staff for 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 LARGE CUMENTS OR COPY <br />FOR REPRODUCTION (11" 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 Property Owner must sign this application. Please remember that your <br />application is not complete if the above information has nc' been included. <br />Certification by Clerical Department that Land Use Application is complete <br />Initials of Clerical Staff: ----------------------------------------------------- <br />APPLICANT’S SIGNATURE <br />The applicant herebv agrees to provide all information required or requested by the Zomng <br />Administrator agrees to pay additional fees’^ (staff time not covered by onginal fee payment) <br />and/or unusual expenses incurred in review of this application, and cerufies that the informatioa <br />supplied is true and correct to the best of his/her knowledge. * - <br />Applicant’s signamr <br />f t Date <br />OWNER’S SIGNATURE . ui <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff consultants, agents, commission members, and CouncU <br />members for purposes of investigation and verification of this request. <br />DateOwner’s signatur^gi^^r^^^ -----------------------^----------------------- <br />A I m,.« have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning <br />ApphcMt mus b ^ Monday of each month. Applicants must be present at all scheduled <br />p'cMC make arrangements to have an authorized agent attend in your place and advise the Building & Zoning Office <br />of this change prior to the meeting. <br />: '7E' .............. .•