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REQUIRED SUBMTTT.VLS <br />Completed Application Form. <br />-----?ertr,ed ottm Lis. of owners wiUun 350’ frou can obtain 'is. I.om <br />Hennepin Count>- Depanment of Finance, A-603. Government Center, 348-3271). <br />----- CenificTte of Survey (signed by a licensed surveyor) - refer to handout for survey <br />!^ch le2al description to application if not included on requ^ed survey. <br />Topographic survey (existing and proposed contours) if land alterations invol <br />chanaes in elevation (grades). <br />List of the leeal names (include marital satus) of all persons with an interest in the <br />propem'. This would include namets) of applicant(S) it not current owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />------ As an addendum to this application, please attach a separate l.s. of any other persons <br />vou wish notified of this application. <br />SUBMITITD. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign Utis 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 />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />XhTappli^ LreS^at^^ provide all information required or requested by the Zoi^g <br />SmSmo agrees to pav additional fees (staff time not covered by ongmal fee payment) <br />e.xpenses incurred in review of this application, and cenifies that the information <br />supplied is true and conea to the best of his/her knowledge. <br />v\, \La, (DateApplicant’s signature <br />m^Mr*herebv'ackmowlilges and agr.-.-s to .h s application and further <br />onto the pmperry by City staff, c. .l.-r ts. agenB, commission members, and Counc.l <br />members for purposes of investigation and • liication of this request. <br />. . „ Otiv,. TfUQ- _ Date <br />(^tacC<^_ A^. uScu^, 01H7O 5(3\,-©3S-5-|SS ’ <br />ADDlicant must have all submittals into the City offices 25 days before the Planmng commssion <br />rnmmission Meetings arc held on the third Monday of each month. Applicants must be <br />review meetings of the Planning Commission and Council. If an applicant is un^Ie ^ 7onine Office <br />please make arrangements to have an authorized agent attend in your place and advise the Bull mg <br />of this change prior to the meeting.