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required submittals <br />^11 th« infftrmation must be submitted by the aPPBcation de:idHii^ in order <br />fnr vmir aDif|8ratioii to be considered compief**^ <br />1. <br />mm • <br />3. <br />4. <br />Completed Application Form <br />— Certified Property Owners List of owners within 150’ (you muse obtiir Jus list from <br />Hennepin County Department of Finance. A-603. Govt Center, 348-3271). <br />Plat Map (obtained with property owners list). <br />----Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />----calculations as required. In addition, provide one (1) copy 8'/6” x 11" for <br />reproduction. <br />Topographic survey (existing and proposed elevations) if any changes in existmg grade <br />— are proposed. In addition, provide one (1) copy 8'/^" .x 11" for reproduction.^ <br />Sketches or plans of floor & elevation views (provide one (1) copy 8'/^" x 11'). <br />----List of the 'egal names (include marital status) of all persons with an interest in the <br />----property This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />__Additional items as may be requested by Cicy staff. <br />The Applicant and Property Owner must sign this application. Please remember tlu« yom <br />annilffftinn is not complete if the aboye informa^lftti has not been ihelWtteiL <br />APPLICANT’S SIGNATURE ^ w u <br />The applicant hereby agrees to provide all information required or requested by ^hc Zoi^g <br />Admimstrator. agrees to pay additional fees (snff time not covered by <br />and/or consultant expenses incurred in review of this application, and cemfies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />5. <br />6. <br />-y / . <br />8. <br />9. <br />App'leant’s Signature Date <br />members for purposes qf^Ky^tigation ai^ v^ficaiion of this request. <br />DateOwner’s Signatui <br />Applicant must ha« all submittals into the City offices 25 days before the <br />Ap“pSSnu“hl ^^r,U riew t^togs of <br />this change prior to the meeting.