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REQUIEED SUBMITTALS <br />[___Coopkled ApplktfMMi Fotm. <br />Describe requot in detail. <br />Certified Pr^rty Ownen list of ownen widsiA 330* (you can obtain this list ftoin <br />Hemqnn County Dqnraneot of Pounce, A-ti03. CemBmeni Cfcnttr. 341*3271). <br />___put Mq». <br />___Ceitilkatc of Survey (signed by a licensed nirveyor) * refer to baadout for survey <br />iofonnatioo. <br />Attach legal description to application if ooi included on required survey. <br />Topographic survey (caistnf and proposed coofouis) if land altenuons involve <br />changes in elevation (grades). <br />List of the legal »*■««« (include marital saais) of all persons with an interest in the <br />property. This would include vanteis) of *pplicant(s) if noc current owner(i), <br />Connruction plan, if ^icabie (see staff for requhcmeoti). <br />___As an addendum to this application, please attach a separate list of any other penons <br />you wish notified of this applicatitm. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (ll" X IT* OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitied.) <br />The Applicant and Property Owner roust sign this application. Please remember that your <br />§ppiiMtir>n i$ HOC complete if the above infonnation has not been included. <br />CciuTieation by Clencal Department that Land Use Application is complete. <br />Ihitialiof Clerical SttfT:_____________ ---------------—------------- <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />APPUCANTS SIGNATURE . v ,w ^ <br />The applicant hereby agrees to provide all infonnation required or requested by the Zomng <br />Administrator, agrees to pay additional fees (staff lime not covered by original fee payment) <br />and/or expenses Incurred in review of this application, and certifies that the infonntoon <br />supplied is true and cotrect best of hu/h« knowledge. <br />Applicant's signature Date <br />Owner's signature <br />OWNER^S SIGNATTJRE <br />The owner hereby acknowledges and agrees to diis application and further aphorized rewnable <br />entry onto the property by City^taff^coosula^. agents, commission members, and CouncU <br />members for puipoaes of invpsfigajj^RP^d**9M**^* . <br />Date ^ - <br />of this ebaofe prior to iIm iiMetiag.