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rrri LU <br />175.00 <br />I 75.00 <br />YOU <br />I r07:2C <br />ji/20/94 <br />REQUIR^ SUBMITTALS <br />1. ty^^ompleted Application Fonn. <br />2. V/ D_ Describe request in detail. <br />y >»^ertified Property Owners List of owners within 350’ (you can obtain this list from <br />-Hennepin County Department of Finance, A-603, Goverament Center, 348-3271). <br />ly^lat Map. <br />Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />itiJormation. <br />v/Ottta <br />L/iopographic survey (existing and proposed coni' <br />ich legal description to application if not inclu^Jcdon required <br />alterations involve <br />yraanges in elevation (grades). <br />V/ Lisit of the legal names (include marital sams) of all persons with an interest in the <br />roperty. This would include narae(s) of applicant(s) if nouetirrent owner(s^ <br />Construction plan, if applicable (see staff for requirements)/ <br />2 As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11 ” X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (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 />Cenification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff: Date <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred^ review of this application, and certifies that the information <br />supplied is true and correct to life best ofJi«i%er knowledse. <br />Applicant ’s signature Date <br />OWNER’S SIGNATURE <br />The owner hereby ^^'^now ledges and agrees to t* - application and further authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members, and Council <br />members for purposes of infestigati9n>«fid verification of this request. <br />Owner’s signamre Date fl' <br />Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning <br />Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled <br />review meetings of toe Planning Commission and Council If an applicant is unable to attend a scheduled meeting, <br />please make arrangements to have an .luthorized agent attend in your place and advise the Building 8l Zoning Office <br />of this change prior to the meeting.