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1. <br />2. <br />3. <br />4. <br />REQUIRED SUBMITTALS <br />All nf .h, fnlln»in. n.ua be Xv application deadline Oate in orda <br />for vour application to be considered coroplgte^ <br />Hennepin Councy Depanraent of Finance. A-603, Govi Center. j48o-71). <br />Plat Map (obtained with property owners list)., • , ^ <br />“ Cenificaie of Survey (signed by a licensed surveyor)f" <br />calculations as required. In addition, provide one ( ) p. <br />^o^nrapWc survev (existing and proposed elevations) if any changes in existing grade <br />— areVoposcd. In addition, provide one (1) copy 8^ x 11" for rep^uctto^ <br />cire.rhes or platis of floor & elevation views -provide one (I) copy »^ ' >■ <br />— List of the legal names (include marital stams) of all persons with an interest m the <br />property. This would include name(s) of apphcant(s) if not current owner(s). <br />___M M^dendum 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 Property Owner must sign this application. Please ^niember that vour <br />v.riiince nnniicotinn is not complete if the above information has not been incluflgd. <br />Th^appliSu tefe^^agSs*m provide all information required or requested by the Zonmg <br />IImS. agrees to pay additional fees (suff time not covered by original fee parent) <br />and/or consultant expenses incurred in review of this application, and cemfies a <br />infonnation supplied is ttu^ correct to th^est of his/her knowledge. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Applicant’s Signature. <br />^e owSr^ere^y acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the propetrv by City staff, consultants, agents. Commission members, and Councd <br />members for purposes of^^estigation and verincation of this request. <br />'<^0^ Date 5?-.^rS-9^Owner's Signature ^ y' <br />Annlicant must hav5i^ife^ttM?ilf^‘?^^^=s 25 days before the Planning Co^ission <br />,'=r iS-wS <br />VnH rnuncU 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 & Zonmg Office of <br />this change prior to the meeting. <br />8