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OCT-26-1995 16:1? <br />requireo submittals <br />1. <br />2. <br />3. <br />#s <br />F . 02. 02 * <br />\ <br />o <br />, '-•I N <br />i <br />\ <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Completed Application Form. <br />Describe request in detail. <br />Certined Property Ov^ners List of owners wiUiiu 350', labels and plat map (you <br />must obain this list, labels and map from Hennepin County Depanment of Finance, <br />A 603, Govemmenr Center, .348-3271). <br />Certificate of Survey (signed by a licensed surv'eyor) - refer to handout for survey <br />information. <br />Attach legal 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 marital satus) of all persons with an inieiest lu Uie <br />property. This would include naaac(5) of applicant(s) if not current owner($). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of any ctlter persons <br />you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (IP X 17 ” OR SMALIER) FOR AIX DOCUMENTS <br />SUBMriTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use .Application is complete. <br />Initials of Clerical Staff: __________________________________________________ <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Adminisuator. agrees to pay additional fees (staff time not covered by original fee payment) <br />aixjyor unusual expenses incurred in review of this application, and certifies that the information <br />supplied is true and corr^t_j£>.:l'bn_b£srdT' br^Cher knowledge. <br />^ Applicant's signatu Date lOl^ol <br />OUTVER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this applicauon and further authorired reasonable <br />enrrv’ onto the propeit>- by City staff, consultants, agents, commission members, and Council <br />members for purposes of invcstigation';and verification of this request. <br />Owi.er's signature Date <br />Applicant must have aU submiitals into the City ofTicca 23 days before the Planning Commission Meeting. Fla&nillf <br />Commission Mecuugs -vc held on the third Monday of each monlh. Applictnis must be piesciu ax all scheduled <br />tr.'iew mcclinK'* «f «bc PlaauLng Commission and Council. If an applicant is unable to attend a scheduled meetiog. <br />j’lrasc make arrangements to have an auihun,:cO «*cui ativcU layout place and advise the Duildinj A Zoning Office <br />of this change prior to the meeting.