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Sent By: J Melin & Company;
<br />01/01/1999 03:00 3052098456
<br />ee"t .By ; J Melin~ compiny;
<br />REQUIREP &UBMITTALS;
<br />612 941 0151;
<br />812 94 1 o, 51 ;
<br />Jan-16-07 11:31;
<br />JM-18-07 11 :09;
<br />Page 2/2
<br />PAGE 02
<br />Page 'l/2
<br />AU of lt.e foMow!r.g lnformaston muet be 1ybffllttad by the appllcallon deadline date in order for your
<br />~p~llc:ation lo be pf()cetHd.
<br />•_;z,.... Pre.Application Mee~f"l9 Form, completed t>y a City Planner.
<br />o Cornpleted Application Form
<br />a Completed '"1•rd$hip Documemetion Form
<br />0 Ctrti09d J>roperty Ownwrt Ltt1 -own.,, ~ithin 160' o• o,e eubiect pro~rty. la at rnep.
<br />Li,t. label, ano map may ~ obttintld ftQ:'Y\Heftnepin Cour\ly nt 9f 'nance.
<br />Gov.mment Ce:iter. A-803 300 South 6111 Slf .. t, Minneapclis, Mleph~n 812-3~·59~
<br />CJ Original Certificate of Survey (ltgned by a licensed tul'\'eyor), meitfng"''IIM~uirBmer,~,
<br />iisted Wittlin 1tt,, pa~ Ir.duding h8n1C:O\I•' c,1cul1tlons . Alao provide one copy 8 .5" x 11" or
<br />11 ~ x 1 r-for reproduction.
<br />~ CoMpleted h•rdcovwr calculatton wo•1WhNC1 (a p~ollidod within t~ "arlance packet).
<br />C::;/ Topographic survey -includil'IO eldaUrg and prcpoHd elevati0"8, and proposed s,rading and
<br />drain•ge. •Fo, ltkestlor. properties ll"• cont»urt 11'0U.ld be 1th,wn e>Ctel'ldlng 60' Into the
<br />adja;ent ptopert:e1. 5'ravid• one copy 8.!5" x 11 • er 11" x 17" for r•produc1ton.
<br />0 Skelchae or plans Of noo, and e!evaflon vlaw1 (provide one copy 8. 5"' x t 1 '' or 11 • JC 11·).
<br />CJ Additionel :teme may b9 ,.queM9Ci by Cit~ Staff dapending cm the scope of th• project. •
<br />APPLICANT'S ACKNOWLEDO!MENT:
<br />·;rie applicant hereby ag, .. , to pro"1d• all information required a, rwq\,Hted t,y the Planning
<br />Department. agreea to pay addltlonei fell (staff tlmt not C\)Vered In the original ree pa)fflen~) und/o,
<br />consultant e,q,enua lncuned if1 rtViaw of this appllcetlo11 and certifies 1h•\ the lnformalio" 1o,1pplied it
<br />tru e ar,d correct to ttle beet ~ hll~,. lcftowledge . The applicant recognize• UIM ht/9he 11 •olely
<br />rMpon .. ble for •ubm1Ulng • complete appHeattan befnt awa,-that upon tallun, to do •o, the
<br />sea.ff hH no •flemative bUt to rt)fft 11 undl it It comple• or to. ,.o.om"'•nd the r•qu .. t far
<br />d•nlal of th• requHt regardlaM of ite potential merit.
<br />Applicant's Sf911etur•: · Cate: ------
<br />Applicant's Signature: .... __ Date:
<br />~WNER'5 ACKNOW&.eDGeNENT: t~,e CWfWJr t,eret,y ~ooi.lt1d991 and agrees to thle •pplication and further •ulhorizn reaaoneble
<br />envy onto tl'le prcpetty by Cily S18ff, CJ)fHKJltanta, 1g•nts. Commh,1olon & Council Members for
<br />purpoeH of Investigation &!'Id vwiflcation cf ttlia reqL .. t .
<br />--------
<br />Applicant rnust have atl sYbmf It Into the Ci!y offlCM 25 (jays before 1tie 1:11ann1ng Commlas;o,,
<br />Meeting . Plannlng Comm!.slon Meetings a,. normaliy held on tht tl"ird Monday ot nen mcnll'I .
<br />Applleaf1tt must b• prMtnt ,, an •checluted revl•w meeting, of lh• Ptannlnt Comml•tfon and
<br />Co1.1ncll. If an applicant ;9 unabl• to •~•nd a sd'leduled meeting. please make arran~•nll lo
<br />havo art authorized repr.H,,tltivo allend In place o, the ape,lleant and advise the City PlaMer
<br />anigned to vour project
<br />l>OOHfit,-Z96
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