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•» <br />* ^ <br />required submittals <br />1, • Completed Application Form. <br />0 Describe request in detail. . . .. ^ <br />——Certified Property Owners List of owners within 350’ (you can obtain this list from <br />i. Hennepin County Department of Finance, A-603, Government Center, 348-3271). <br />4 V-' . Plat Map. — ' <br />cenif’cate of Survey (signed by^a licensed surveyor) - refer to handout for survey <br />" information. . , ^ ^ •• j <br />^ Attach le«^al description to application if not mcluded on required survey. <br />7*. “Tiir Topographic survey (existing and proposed contours).#, land alterations mvolve <br />changes in elevation (grades). . • .t,.. <br />Q •'1 List of the legal names (include marital sams) of all persons with an mterest m the <br />-------- nropertv Hiis would include name<s) of.applicant(s)- if.not cutient owner(s). <br />9' o'c> Consmlction plan, if applicable (see staff for requirements).. <br />10. As an addendum to this application; please anach a separate Itst of any other persons <br />you wish notified of this application. ^ <br />SS u ” ■SrSSLXFS'STSSc'SSS <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Propeny Owner must sign this application. Pka« remember that your <br />application is not complete if the above informauon has not been mcluded. <br />Certification by Clerical Department that Land Use Appliration is complete. <br />Initials of Clerical Staff:---------------------------------------------- <br />and/or unusual expenses incurred iiuev)ew of this^phtmuon, and cemties mat <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant’s signature <br />Owner’s signamre Date <br />please make aLigemems to have an authorized agent attend tn your plane and advise <br />of this change prior to the meeting.