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1. <br />2. <br />3. <br />4. <br />required submittals <br />All of the following information must be submitted bv the application deadline date in orde j: <br />for vour application to be considered complete: <br />Completed Application Form ........... <br />— Certified Property Owners List of owners within 150’ (you must obtam this list from <br />Hennepin County Department of Finance, A-603, Govt Center, 348-3271). <br />Plat Map (obtained with property owners list). <br />----Certificate of Survey (signed by a licensed sur/eyor) and include hardcover <br />— calculations as required. In addition, provide one (1) copy 8'/^" x IT for <br />Topoeraphic .survey (existing and proposed elevations) if any changes in existing grade <br />— are proposed. In addition, provide one U) copy 8*/2" x 11" for repu^ucuon <br />Sketches or plans of floor & elevation views (provide one (1) copy 9 A x 11 )• <br />----List of the iegal names (include marital status) of all persons with an mterest in the <br />propertv TWs would include name(s) of applicant(s) if not current owner(s). <br />__As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />__Additional items as may be requested by City staff. <br />The Aoplic^nt end Property Owner must sign this application. Please 5!2SU: <br />nr,nlie.-.tion is not cor.m lete if the above infonfialion has ntH been iptlpded. <br />m*appli^ hereS^agreefro provide ali information required or requested by the Zoning <br />^wLator agrees to pay additional fees (staff time not covered by original fee pa^c™) <br />“cotlsutom expends incurred in review ofjbis application and certtftes that the <br />information supplied is ifu^ and correct, to ^fi^/best 9T his/her knowledge. <br />5. <br />6. <br />7. <br />8. <br />9. <br />/ <br />DateApplicant’s Signature <br />Thl^^tr^her^^y and agrees to this application and furtlier auUwrizcs reasonable <br />entry onto the property by City staff, constants, agents. Commission members, and Council <br />members for purposes of ii^^^onpdveri^^on of this request. <br />owner's Signam^^:^::s^S2i^^^^=^ <br />Applicant must hav/all submittals into the City offices 25 days before the Planning ComimMion <br />Meeting Planning Commission Meetings are held on the third Mraday of each mon^_ <br />ADPlicants must be present at all scheduled review meetmgs of the Plaiuuog Cominiss <br />Md Council. If an applicant is unable to auend a scheduled meeting, “f <br />to have an authorized agent auend in your place and to advise the Butldmg & Zonmg Office of <br />this change prior to the meeting. <br />8