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‘Vt H <br />_______ <br />REQUIRED SUBMITTALS ' <br />1.X Complcicd Application Fonn. <br />2.Describe request in detail... r <br />3.Certined Property Owners List of owners wiUun 350’ (you can obuun <br />------- Hennepin County Department of Finance, A-603, Government Center, 348-3271). <br />5;3: CenincaK of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. ... . <br />6.* Attach legal description to application if not included on required survey. <br />7.* Topographic survey (existing and proposed co -^urs) it land alterations invo v <br />changes in elc' ation (grades). » .h*. <br />8 •List of the legal names (include marital satus) of all persons with an interest n the <br />■------- property. This would include name(s) of applicant(s) if not current ownerts). <br />9 8 Construction plan, if applicable (see staff for requirements). <br />li).As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />*'I’HESE ITt>TS HAVE BEEN PREVIOUSLY SLWITED TO TltE CITY OF OROtO. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE <br />FOR REPRODUCTION (11” -X 17" OR SMALLER) fOR AL i _ <br />SUBMITTED. (Staff will require to scale drawings of all documents, plan.s, t <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember Utat your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Deparunent that Land Use Applicatioji is complete. <br />Initials of Clerical Staff;____________________________------------------------------------- <br />m appl^^^^provide all information required or requested by the ^ <br />AdmiLtrator. agrees to pay aiWitional fees (staff time not <br />and/or unusual expenses incurr/d in revi^ of tins application, and certifies that the mlonnatio <br />supplied is true and correct ^the^^st^f his/her knowledge. <br />Applicant’s signature <br />The owL\erl*by tII;I!!vdedges and agrees to this application and further <br />entry onto the property bv City staff, consultants, agents, commission members, and Counu <br />members for purposes of investigation and verification of this request. <br />DateOwner’s signamre--------------------------------------------------- <br />Annlicant must have all submittals into the City offices 25 days before the Planning Commission j>l^."5 <br />i««inn Mectincs are held on the third .Vlo.Tday of each month. Appliemts must be present <br />“nieeiiiiss of iL Planning Comnussion and Council. Ifan applicani U unab'- “ <br />please make arrangements to have an authorized agent attend in your place and advise the Building & Zoning <br />of this change prior to the meeting.