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32Mir <br />REQUIRED SUBMITTALS <br />1. ____ Completed Application Form. <br />2. ____ Describe request in detail. <br />3. ____ Certified Property Owners List of owners within 350', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Government Center, 348-3271). <br />4. ____ Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br />information. <br />5. ____ Attach legal description to application if not included on required survey. <br />6. ____Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />7. ____ List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(s) of applicant(s) if not current owner(s). <br />8. ____ Construction plan, if applicable (see staff for requirements). <br />9. ____ As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br />FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS <br />SUBMITTED. (Staff will require to scale drawings of all documents, plans, etc. to be <br />submitted.) <br />The Applicant and Property Owner must sign this application. Please remember that your <br />application is not complete if the above information has not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:__________________________Date________________________ <br />APPLICANT’S SIC-NATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to p?.v ^ditional fees (staff time not covered by original fee payment) <br />and/or unusual expenses incurred in review of this application, and certifies that the <br />information supplied is trv^ and correct to^e besj^o^ his/her knowledge. <br />Applicant's signature n Date <br />/ /. <br />OWNER'S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorized <br />reasonable entry onto the property by City staff, consultants, agents, commission members, <br />and Council members jqt purposes of im^igatipri^d verification of this request. <br />Jr\ f ^ M • ^ Jm ___Owner's signature /( --------Date <br />Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. <br />Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at <br />all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a <br />scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the <br />Building & Zoning Office of this change prior to the meeting.