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% <br />1 <br />4m . <br />3 <br />4 <br />required submittals <br />All of the follnwing infonpation must be submitted bv the application 4gadline.date in <br />for vour application to be consid ered complete; <br />Completed Application Form <br />“^Certified Property Owners List of owners within 150’ (you must obtain this list from <br />Hennepin County Department of Finance, A-603. Govt Center, 348-3271). <br />✓'Plat Map (obtained with property owners list). <br />“P CeniHcate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one '1) copy .x 11" for <br />li'^^opoeraphic survey (existing and proposed elevations) if any changes in existing grade <br />are proposed. In addition, provide one (1) copy 8'./i" x 11" for reproduction <br />t/Sketches or plans of floor & elevation views (provide one (1) copy 8'A x 11 ). <br />r/List of the legal names (include marital stams) of all persons with an interest m the <br />propertv. This would include name(s) of applicant(s) if not current owner(s). <br />i/ 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 Applicant and Property Owner must sign this application. Please remember tot mS. <br />anniicatinn is not com plete if the above information np< hwn igtliitltd, <br />map'plte^ herebj^ag^^ provide all infoimation required or <br />Admitotrator, agrees to pay additional fees (staff time not covered •’>’ <br />and/or consultant expenses incurred in review of this application and certifies that <br />information supplied is true and correct to the best of his/her knowledge. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Applicant’s Signature Date i//zt!si- <br />Date iJ III <br />hereby tckl^edges and agrees to this application and further <br />entry onto the property by City staff, consultants, agents, Commission members, and Council <br />members for purposes ofJnyestigatio^and^ificanpiLnf this request. <br />Owner’s Signamn <br />Applicant must have all submittals into M offices 25 days before <br />Meeting. Planning Commission Meetings are held on the third Monday of Jf^h rnonm^ <br />Applicants must be present at all scheduled review meetings of the P anning o <br />Md CouncU. If an applicant is unable to attend a scheduled meetmg. pl<^ m^e arra^^enB <br />m have rauthorized'ag^ anend in your place and to advise the BuUdmg & Zoning Office of <br />this change prior to the meeting.