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SUBMITTALS <br />j Complctrd Apriication Form. <br />\/ Describe request in deuil. <br />Certified Property Owners List of owners within 350’ (\ou can obtain this list from <br />—Hennepin County Department of Finance. A-603, Govemroeni Center, 348-3271). <br />Cemficate of Suney (signed by a licensed 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 />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />.changes in elevation (grades). <br />l^i$t of the legal names (include marital satus) of all persons with an interest in the <br />"^^property. This would include name(s) of applicant(s) if not current owner(s). <br />v/ Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separalc list of any other persons <br />you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF L.\R(JE DOCUMENTS OR COPY <br />FOR ^p“dI>CTIO.N (II” X 17" OR SMALLER. FOR ALL DOCOMEN-^ <br />SUBMITTED. (Staff w’ill 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 inlormation has not been included. <br />Ceriif.cation by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:__________________________---------------------- <br />APPLICANT’S SIGNATURE .. i. u rr <br />The applicani hereby agrees to provide all information required or requested by the ^ning <br />Administrator, agrees to pay addmonal fees (staff time not covered *’7 <br />and/or unusuai expenses incurred in review of this application, and certifies that e tn o <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant’s signature ^Date <br />OW^TR’S SIGNATURE ^ ^ ^ <br />The owner hereby acknowledges and agrees to this application and further authorued reasonable <br />entry onto the property by City staff, consultants, agents, commission members, and Councu <br />members for purposes of investigation and verification of this request. <br />Owner's si™. _________ <br />Applicant must have all submittals into the City offices 25 days before the Planning <br />Commission Meetings arc held on the third Monday of each month. scheduled meeting, <br />review meetings of the Planning Commission and Council. If an applicantouiMino & Zoning Office <br />please make arrangements to have an authorized agent attend in your place and a vis <br />of this change prior to the meetmg. <br />■I m I fitf