12-12-1994 Council Packet - Laserfiche WebLink

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required submittals 1 Completed Application Fonn. 2, Describe request in detail. 3 Certified Property Owners List of owners within 350’ ^ou can obtain this list from " Hennepin County Department of Finance. A-603, Government Center. 348-3271). 4. Plat Map. 5 Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey information. 6. Attach legal description to application if not included on required survey. 7 ’ Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). g [^ist of the legal names (include marital satus) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). ), Construction plan, if applicable (see staff for requirements). 2Q As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. YOU ARE REQUIRED lO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:________________________Date^---------------------------------- APPLICANT ’S SIGNATURE . .. u ^ The applicant hereby agrees to provide all information required or requested by the Zonmg Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct io the best of his/^ knowl^ge. ^ Applicant ’s signature — Date----/2^^ j — Bruce Bren, President OWNER ’S SIGNATURE . ^ The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Owner’s signamre Date of this change prior to the meeting.