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REQUIREDSUBMITTALS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7 . <br />8. <br />9. <br />~ Completed Application Form. <br />__ Describe request in detail. <br />¼ Certified Property Owners List of owners within 350', labels and plat map (you <br />;xi <br />X <br />must obtain this list, labels and map from Hennepin County Department of Finance, <br />A-603 , Government Center, 348-3271). <br />Certificate of Survey (signed by a licensed surve y or) -refer to handout for survey <br />information. -Fo~-tnc.o .ltU..--°J <br />Attach legal description to application if not included on required survey. <br />Topographic survey (existing and proposed contours) if land alterations involve <br />changes in elevation (grades). <br />List of the legal names (include marital status) of all persons with an interest in the <br />property. This would include name(s) of applicant(s) if not current owner(s). <br />Construction plan, if applicable (see staff for requirements). <br />__ 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 SIGNATURE <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 unusual expenses incurred in review of this application, and certifies that the information <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant's signature ~ IJ ~ ' I I <br />· OWNER'S SIGNAT , · · ' <br />Date -~=---'"...-6=-'8_·-.._f _,_y __ <br />The owner hereby acknowledges and agrees to this application and further authorized reasonable <br />entry onto the property by City staff, consultants , agents, commission members, and Council <br />members for purposes investiga ion and verification of this request. <br />Applicant must have · to 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 all <br />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 au thorized agent attend in your place arid advise the <br />Building & Zoning Office of this change prior to the meeting . <br />6 <br />f <br />i . I <br />) <br />' \ <br />l <br />I <br />l <br />J <br />t <br />•, ··:;.