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1. <br />2. <br />3. <br />REQUIRED SUBMITTALS <br />All nf the follmvino informatinn must he suhmittcd hy the npplication,dcndlinc,dntUa <br />order for vour npplication to he considered complete. <br />Completed Application Form <br />Certified Property 0%vners List of otvners within 150’, labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Govt Center, 34S-3271). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy S'/r x 11 for <br />reproduction. . • <br />Topocraphic survey (existing and proposed elevations) if any changes in existing <br />grade'are proposed. In addition, provide one (1) copy 8'A" x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy S'/i" x 11"). <br />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 o%vner(s). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remember that youi: <br />vnrinnee anpUrnHnn not comnicte if the above information has not been included^ <br />APPLICANT’S SIGNATURE ^ u u 7 • <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or consultant expenses incurred in review of this application, and certifies that t e <br />information supplied is ^ue^and comect^^^^^ ^ knowledge. <br />5. <br />6. <br />7. <br />8. <br />Date <br />Jonathan G. Lebedoff <br />Applicant's Signature <br />OWNER’S SIGNATLT-jul ^ <br />The ovvner hereby acknovVledges and agrees to this application and further authonzes reasonable <br />enuy onto the property by City staff, consultants, agents. Commission members, and Council <br />members for purposes of investiaation and verification of this request. <br />O.W. TrnLW:->?i£nfp- 0.,. <br />Rooert G. Mitchell, Jr. a r <br />Applicant must havrairsUnfinSrfnlo" ^“city offices 25 days before the Pitting <br />Commission Meetinc. Planning Commission Meetings are held on the third Monday of each <br />month Applicants must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled m«nng p ease <br />make arrangements to have an authorized agent attend in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting.