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f <br />rr <br />'i •r>, <br />1. <br />C2* <br />6 3. <br />'*• <br />5. <br />6. <br />7. <br />8. <br />9. <br />REQUIRED SUBMITTALS <br />All of the following information must he submitted bv the ^ppligatio*^. * ,adl»ne date m prder <br />for vour application to be considered complete: ^ <br />^ Completed Application Form <br />Certified Property Owners List of owners within 150 ’ (you must obwm^s <br />Hennepin County Department of Finance. A-603. Govt Center, j^8-j-71). <br />k^Plai Map (obtained with property owners list). , . , ^ <br />— Certificate of Survey (signed by a licensed surv'eyor and include hardcover <br />calculations as required. In addition, provide one (1) copy Vh. x 11 for <br />To^rapUc survey (e;cisimg and proposed elevations) if any changes in existing grade <br />are proposed. In addition, provide one (1) copy S'/a" x 11" for rep^ucuon. <br />Sketches or plans of floor & elevation views (provide one (1) copy ih all )• <br />T^List of the legal names (include marital status) of aU persons with an interest m the <br />----property. This would include oame(s) of applicant(s) if not current owner(s). <br />__As „ addendum to this application, please attach a separate list of any other persons ^ <br />you wish notified of this application. <br />__Additional items as may be requested by City suff. — __ <br />The Applicant and Property Owner must sign this application. Please remember flat jauE <br />vnri.inee applirniion is mil complete if the above information has not been iBClud.ea. <br />APPLICANT’S SIGNATURE ^ ^ ^ _ . _ <br />The applicant hereby agrees to provide all information required or requested by the Zonmg <br />AdmWsuator, agrees to pay additional fees (staff time not covered by ongmal fee payment) <br />and/or consultant expenses in review of this applicauon and cetofies that the <br />information supplied is true ^ <br />Applicant’s Signamre --------------Date <br />OVV7*fiER ’S SIGNATTJRE . ., <br />The owner hereby acknowledges and agrees to this applicaaon and further authorizes reasonable <br />entry onto the property by Citswitaff, consultants, agents. Commission members, and Council <br />members for purposes of i^^ga^n jgtt ^ication of this request. <br />Owner’s Signature Date 9/C//^ S <br />Aonlicant must have all submittals into the City offices 25 days before the Planning Co^ission <br />Meetine Planniug Commission Meetings are held on the third Monday of each month. <br />ADDlicMts must be present at aU scheduled review meetings of the Plannmg Commission <br />..nH r mincil 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