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REQUIRED SUBMITTALS <br />Completed Application Form. <br />■ Cenified Pro^rty Owners List of owners within 350’ (you can obtain this list^from <br />’ Hennepin County Department of Finance. A-60.\ Government Center. j48-3^71). <br />■ Cenificaw of Suney (signed by a licensed surveyor) - refer to handout for survey <br />description to application if not included on required survey. <br />: Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). , . <br />List of the legal names (include mariul satus) of all persons with an interest n the <br />■ oropertv. This would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see staff tor requuements). ..hemersons <br />■ As an addendum to this application, please attach a separate list of any other persons <br />you wish notitied ot this application. <br />YOU ARE REQUIRED TO SUTPLY 30 COPIES OF <br />roR reproduction (11" \ 17" OR SMALLER) FOR ALL uucuMtiXia <br />SL^MITTED. (Staff will require to scale drawings of all documents, plans, etc. to e <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above inlormation has not been included. <br />Cettirication by Clerical Depanment that Land Use Application is complete. <br />Initials of Clerical Staff;__________________________----------------------- - ' <br />1. <br />2. <br />ji. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />ThTtpptonT hcfe'btMreefm provide all information requited or requested by the Zoning <br />?in,in^ am acmes to pav additional fees (staff tune not covered by original tee payment) <br />fnd/or unusual e.xpenses incurred in review of this application, and cenifies that the information <br />supplied is true and corf^t^o the best pj^^er knowledge <br />»■ /,DateApplicant’s signature <br />The'^wIfer^herl^^a^^ and agrees to this application and further authorized <br />entn,' onto the property by Cit>’ staff, consultants, agents, commission members, an <br />members for purposes ^ investigat^n^verification ot this request. <br />Owner’s cipnaturev, 1 A Date <br />Annlicaat mus. have all submiilals imo Ui. C.tv- elT.ces ’5 days be.otc die Platmiag Commission ““‘‘“S' <br />Applicant m ^ ^ ^ Mondav of each month. Applicams must be present at all schedule <br />of 1^ ^^aiZ Colission and Council. lian appiicam is unable lo ailend a scheduled m«i.ng <br />ITi^e^angements 10 hale an audiomed agen. allend in you, place and advise die Budding di Zonmg Olfic. <br />of this change prior to the meeting.