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reqitreo submittals <br />1. <br />4m*» <br />3. <br />Completed Application Form <br />Desenbe request in deuil <br />~7P^ Certified Propcitv Ouners List of owiiers within 350* L'ou can obtain this list^from <br />Hennepin Count>’ Department of Finance, A-603. Govemme ' Center. 348-3271). <br />(X Plat Map. <br />Certificate of Sur\cy (signed by a liceru.ed surveyor) - refer to handout for survey <br />information. <br />Attach legal description to application if not included on required survey. <br />Topographic sur\ey (e.xisting and proposed contoun) if land alterations involve <br />changes in elevation (grades). <br />List of the legal names (include marital sams) of all persons with an interest m the <br />property This would include namets) of applicant(s) if not current owncr(s). <br />Construction plan, if applicable (sec staff for requirements). <br />------ As an addendum to this application, please anach a separate list of any other persons <br />YOU W ish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF <br />FOR REPRODUCTIO.N (11” X 17" OR SMALLER) FOR ALL DOCUMENT <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Propeny 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 />Imtials of Clerical Staff________________________ Date.------------------------------------- <br />5. <br />6 <br />7. <br />8. <br />9. <br />10. <br />The applicant hereby aerees to provide all information required or requested by the Zonmg <br />\dminiLator acrees to pav additional fees (staff time not covered by original fee payment) <br />and/or unusual e.xpenses incurred in reviewr of this application, and certifies that the information <br />supplied is true and correct to the best of his/her know ledge. <br />.Applicant’s signamreV^Date "T [ tq [^4-. <br />members for purposes ojnnvistn^ipn>at5j;^ of this request. <br />DateOwner’s signamre <br />Appuc^m. muM have all sahS^s m.o U.e On- office, 25 <U>, before Ore <br />Comm.,,101. Meeimg, ere held Oh die third ,p anehd a scheduled meermg. <br />of this change prior to the meeting.