Laserfiche WebLink
r <br />1/3% ^ <br />i */REQUIRED SL^MITTALS y - <br />411 nf th«. follouing information must benihjrnittcd hv ^h^.^ppUcation deadline «iatejn o£dor <br />for vour aDDHc3t»f»n ^ considered cniriBletgi <br />t <br />4 • <br />Completed Application Form ^ <br />T" Cemfied Propert> Owners List of owners within 150 (you must obtain ^is list ^rom <br />Hennepin County Department of Finance. A-603. Govt Center. 343-3271). <br />3. <br />4. <br />5. <br />6. <br />7. <br />S. <br />9. <br />Toi^raphic suney (existing and proposed elevaiioiuMf any changes in existing grade <br />are proposed. In addiiion, provide one (1) copy 8'.i x 11 tor reproduction <br />./ Sketches or plans of Hoor i elevation views (provide one (U copy 3.-. x 11 ). <br />List of the l«ai names (include marital status) of all persons with an interest in the <br />nronettv This would Include name(s) of appllcant(s) if net curiem owner(S). <br />L M7ddcndum to this applicatioa. please atuch a separate list ol any other persons <br />you wish notified ot this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Propertv Owner must sign this application. Please remember that vour <br />nnniirniinn is not complete if the above informalion hns not heenjncludeiL <br />rL'pl'^aJLSreef^^ provide all informa.ion re,uired or requested by the Zoning <br />?tmmis ™o acmes m pav additional fees (suff time not covered by ongtnal fee payment) <br />fnthorcomuUrexp^n^t- incurred in review of dus application and certifies that the <br />information supplied is true and correct to the best or his/her knowlcilge. <br />Applicant ’s Signature Date - <br />?!e'^wneAemb^ac!^^^^ and agrees to this application ami ftitther ^“‘h^rizes recsonaW^ <br />rj die property by crry staff, consultants. agents._ Commission members, and Conned <br />members for purposes of investigation and ventication ot this request. <br />Owner’s Sigrumre yn .Date <br />Applicant must have City ofnees :5 days b^ra tj; « Co— <br />Ap;lSLra “pr“— <br />this change prior to the meeting. <br />S