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\ <br />4 <br />.5 <br />£*: ( V tj '• f <br />REQUIRED SUBMITTALS <br />All of the followinf information must be submitted bv the mpplication dea.dline date 411 <br />order for VQur applieatio^ to be considered compltlt: <br />t <br />\, ___ Completed AppUcation/ponn <br />2. __ Certified Property 0'*^ers List of oM^ners Vfirhin 150’, labels and pl'4;f <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Govt Center, 348-3271). <br />3. ___ Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8‘/i" x 11" for <br />reproduction. <br />4. ___ Topographic survey (existing and proposed elevations) if any changes in existing <br />grade axe proposed. In addition, provide one (1) copy 8‘/j" x 11" for reproductioD. <br />5. Sketches or plans of floor & elevation views (provide one (1) copy 814" x 11"). <br />6. List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of appUcant(s) if not current ownet(s). <br />7. ___ As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this ^iplication. <br />8. __ Additional items as may be requested by City staff. <br />The Applicant and Properly Owner must sign this application. Please remember that 30ui£ <br />ygrianc* applicatiftn is not complete if the above information has not bccn.includtiL <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoiung <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or consultant expenses ipeurtgd levicw of this application, and certifies that the <br />information supplied isbest of his/her knowledge. <br />Date —App.icani’s Signature _________ <br />Q^iorC) I LI-CL. <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes rcasonw^ <br />entry onto the property by City staff, consultants, agents, Commission members, and Coodeil <br />members for purpose^f invcstigati<^ andj^rification of this request. <br />Owner's Signature 7 <br />£i^2/ Date <br />Applicant must have all submittals into the City offices 25 days before the Pluming <br />Commission Meeting. Planning Commission Meetings arc held on the third Monday of cacti <br />month. Applicants roust be present at all scheduled review meetings of the PUnnutg <br />Commission and Council. If an applicant is unable to attend a scheduled meeting, plewc <br />make arrangcmcnis to have an authorized agent ar.end in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting. <br />8