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2. <br />3. <br />4. <br />5. <br />REQUIRED SUBMITTALS <br />1.Completed Application Form. <br />Describe request in detail. .... <br />------Certified Property Owners List of owners within 350' (you can obuin this lisl from <br />Hennepin County Department of Finance. A-603. Govemmem Cenier, 348-3271). <br />------Certificate of Sutsey (signed by a licensed surseyor) - refer to handout for survey <br />information. . . <br />Attach legal description to application if not included on required survey. ..... <br />____Topographic survey (e.tisting and proposed contours) if land alterations involve <br />changes in elevation (grades). . . • <br />List of the lecal names (include marital satus) of all persons with an interest m the <br />------ property. This would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please anach a separate list ol any other persons <br />you wish notified of this application. <br />6. <br />7. <br />8. <br />9. <br />10. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE I^CI^ffiN^ flR TO^ <br />FOR REPRODUCTION (11" 17" OR SMALLER) TOCU. 1 . <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 not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff: -----------------_Date.--------------- <br />^e**appl^^ Lre^^^ag^^ pr^ide /ll information required or requested by the Zoning <br />^dm^hslS acrees mL add>nal fees (sta/f time not covered by original fee payment) <br />Md/or unusual e^pensfl^curred f Kvik' of thjiappHcation. and cenifies that the information <br />supplied is true and cirtcct to th| best^ his/^^^owledge. ^ <br />JlJfMlpi DateApplicant’s signam^ev^-------- <br />The^i^tr^erl^y ^^ovv lidges and agrees to this application and further authorized reasonable <br />enirv onto the propertv- by City staff, consultants, agents, commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s signature Date <br />ADDlicant must have all submittals into the City offices 25 days before the PTannmg Comnussion fleeting. Pi^ng <br />CoLiission Meetmes are held on the third Monday of each month. Applicants must be present a ^hedulcd <br />review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled <br />please make anangemenis to have an authonzed agent attend m your place and advise the Building & Zoning Of ic <br />of ibis change prior lo ihe meeting. <br />I