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*' <br />Jf <br />REQUIRED SUBMITTALS <br />AM of the follnwing information must be submitt ed bv application de^idline date in or<3er <br />tnf vmir application to t>g considered complete? <br />Completed Application Form . <br />77 Cenified Property Owners List of owners within 150' (you must obtam this list from <br />■Hennepin County Department of Finance. A-603, Govt Center, 34S-3271). <br />-................. ' -------------owners list). <br />1. <br />2. <br />3. <br />4. <br />5. <br />✓ Hennepin County Department ot <br />Plat Map (obtained with property owners list). , . , , ^ ^ <br />T/ Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8/: x 11 for <br />Top'^Shic survey (existing and proposed elevations) if any changes in existing grade <br />Tn nrovide one (1) copy S'/:” x 11" for reproduction. <br />6. <br />7. <br />8. <br />9. <br />loposrapnic survey auu^ ^ — <br />““^re proposed. In addition, provide one (1) copy 8'/:" x 11" for reproduction. <br />V'^ketches or plans of floor & elevation views (provide one (1) copy 8*/i x 11 ). <br />List of the legal names (include marital status) ot all persons with an interest in the <br />propertv. This would include name(s) of applicant(s) if not current ownens). <br />As an addendum to this application, please attach a separate list ot any other persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff <br />The Applicant and Propertv Owner must sign this application. Please remember that vour <br />varinnee aDPlicnfinn not' complete if the above information not beep include d. <br />APPLICANT S SIGNATLTIE u 7 <br />Tl>e applicant herebv acrees to provide all intbrmation required or requested by the Zonmg <br />Admto^ator. agrees m pay additiorul fees (staff time no' vivered by original fee payment) <br />jrtetTTn review of this application, and cenifies that the <br />supplied is true^and C^eci to^dfe l)cst,i>f his/her knowledge. <br />.Applicant’s Signatur^^^^^i^il^i^' (Date 7/r^ <br />/ <br />OWTVER’S SIGNATL'RE ^ , <br />The owner hereby acknowledges and agrees to this application and further auUionzes reasonable <br />entry' onto the property by City itatf, consultants, agents. Commission members, and Council <br />members for purposes of invesOgation ai^er^ca^n of this request. <br />Owner's Signature <br />of this request <br />Date T <br />Applicant must have all submittals into the City offices 25 days before the Planning Commission <br />Meeting. Planning Commission Meetings are held on the third Monday of each month. <br />Applicants must be present at all scheduled review meetings of the Planning Commission <br />aiid Council. If an applicant is unable to attend a scheduled meeting, please make arrangements <br />to have an authorized agent attend in your place and to advise the Building & Zoning Office of <br />this change prior to the meeting. <br />8