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1 f •. nc Will uT ‘ w“ f <WCoW <br />/ ^ <br />AiREQUIRED SUBMITTALS / - - <br />1. Completed A^liciuon Form. <br />\ ^fid p52J^“List of owners within 350' (you cnn^in <br />' Hennepm County Depuunent of Fiiuiice. A-603. Government Center, 348-3271). <br />j; ------Snincele of Survey (signed by J iicensed surveyor) - refer to hendout for survey <br />6 Anach legal dcacription to application if not included on required survey, <br />j -------Topographic survey (existing and proposed contours) if land alterations mvoWe <br />8. iSroniw lcgai*n^ Vlud^ m»riul salus) of all peraons with an interest in the <br />property. ’Htis would include natne(s) of applicant(s) if not current owncr(s). <br />9. ConstrucUon plan, if appUcable (sec suff for rcquiremcmsy <br />10. As an addendum to this application, please attach a separate list of any o h p <br />you wish notified of this application. <br />jss 'Ksss ™ * 'srK!iS“r5r^iif’sss5 <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to e <br />submitted.) <br />•me Applicant and Propcity Owner must sigu ilus application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Laud Use Application is complete. <br />Initials of Clerical Suff:._________________________ ----------------------------------------- <br />Thf appliMnt hcreby^a^^^ provide all information required or requested by the Zoning <br />ISmfSoJ a««s ll pay additional fees (staff time nut covered by original fee payment) <br />and/or unusual expenses incurred in review of this application, and certifies that the i ormauon <br />supplied is true and corre ato the best o^s/herjenov^ge. <br />Appnc«.fs D..C ^ArAt... <br />Kto^edges «*) igrees to this application >ad <br />entry onto the property by City sUff. consultants, agents, commission members, and <br />members for purposes of investigaiiou and verifi^on of this request. <br />^______Date iJi-vhy ______Owner’s signal <br />Aoollcaot nmto haveaH^mitials into the City ofncei 25 days before the Planning Coinmssion <br />CommiSsionTSwlm^are held on the third Monday of each month. Appllcanu must be meetina <br />review meetings of the Planning Commission and Council. If an applicant is unable *° •”“!* * * . Zoning Office <br />pleaat make^angementi to have an authoriied agent attend in your place and advise the Building & Z g <br />of tbii change prior to the meeting.