Laserfiche WebLink
y. <br />•; <br />requmd submittals <br />1, v//Completed Application Form. <br />2 \/ Describe request in detail. <br />Certified Propern- Owners List of owners within 350’ (> ou can obtain this list from <br />Hennepin Couna Department of Finance, A-603, Government Center, 34S-3271). <br />\f . Plat Map. <br />Cenificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />Attach leeal description to application if not included on required survey. <br />Toposraphic survey (existing and proposed contours) if land alterations involve <br />\ changes in elevation (grades). <br />x/ List of the legal names (include marital satus) of all persons with an interest in the <br />propeny. This would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see stall for requirements). <br />As an addendum to this application, please attach a separate list of any otf.er persons <br />vou wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COP\ <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 />3. <br />4. <br />3. <br />6. <br />7. <br />8. <br />9. <br />10. <br />APPLICANT’S SIGNATURE , u w ^ <br />The applicant hereby agrees to provide all information required or requested by the Zonmg <br />Administrator, agrees to pay additional tees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred in review of this application, and certifies that the information <br />.supplied is true and correct to the best of his/her knowledge. <br />Applicant’s signature ^ — Date^^_^^^------- <br />OWTVER’S SIGNATUTIE ^ hi <br />The owner hereby acknowledges and agrees to this application and further authorized reasona e <br />entry onto the property by clty staff.'consultants, agents, commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner’s _____________Date . <br />Applicant must have all submiftairmto ihe City offices 25 days before the Planning Commission Meeting, <br />Commission Meetings are held on the third .Monday of each month. Applicants must be .„jrrina <br />review meetings of the Planning Commission and CouncU. If an applicant is unable to attend a sch^^ed mt^^ <br />please make arrangements to have an authorized agent attend in your place and advise the Bu g tun <br />of this change prior to the meeting.