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required SL^-MITTALS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />Completed Application Form. <br />Describe request in detail. <br />Certified Prop»en>' Owners List of owners within 350’ (v ou can obtain this list from <br />Hennepin County Department of Finance, A-603, Government Center, 348-3271). <br />Plat Map. <br />Certificate of Survey (signed by a licecised surveyor) - 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 sanis) of all persons with an interest in the <br />property'. T^s would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />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 DOCU^MENTS OR COPY <br />FOR REPRODUCTION (11" X 17" OR SM.ALLER) FOR ALL DOCLTVIENTS <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 >our <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;___________________________Date----------------- <br />APPLICANT’S SIGNATURE ^ w 7 „ <br />The applicant hereby agrees to provide all information required or requested by the Zomng <br />Administrator, agrees to pay additional fees (staff tune not covered by original fee payment) <br />and/or unusual expenseshicurred in review of this apolication. and cenifies that the information <br />supplied is true and co^^ct to the h^tj^f his/hpr l^wledge. <br />Applicant's signature ^ <br />0\MNTER’S SIGNATURE . . u . ut <br />The owner herebv acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants, agents, commission members, and Council <br />members for purpos^ of investiganon ^nd-verification of this request. <br />Owner’s signature Dale <br />Applicam mus. have alKubfiMAUllwII^City offices 25 days betoee Uie Planpiog Commssioo Meetipg. Pla^g <br />Commission Meeimgs'^Er^'b Ib^d Mond^y^f ^b »on* ^pU <br />- V”- plane and advUe .be Bnifdmg i Zoning Offiee <br />of this change prior to the meeting.