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06/13/20Q2 14:19 FAX 952 844 3359 SPECIALTY RISK SERVICES <br />+9622484B16 <br />la] 004 <br />T•403 P.OO3/005 F-223 Jun•DB•Z002 DI : 1 Op111 F roa •CI TY OF ORONO <br />REQUIRED S1CIBMITIALS <br />All of the follCLlrrlng jnformation must be submitted by the a;opliestion deadline date In <br />order fot-your_ applkatjott to be con,jdertd complete; <br />1. Cot!apleted Application Form <br />2. Certified Property Owners List of owners within 150', labels and plat map (you <br />mtJ:t obtain this list, labels and map from Hennepin County Department of <br />Fiiumce .. A~03 .. Govt Center .. 348 .. S910). <br />3. Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />4. - <br />s. -6. <br />7. <br />8. - <br />ca]c:ulations as required. In addition, pro-vide one (1) copy 8½" x 11" for <br />1'el 1J'oduotion. <br />Ta~JOgraphic survey (existing and proposed elevations) if any changes in existing <br />gnde are proposed. In additio~ provide one (I) copy 8½" x 11" for reproduction. <br />Sketches or plans of :floor & elevation views (provide one (1) copy 8½" x 1th), <br />Lfa1: of the legal names (mclude marit.a1 status) of all petsons with an interest in <br />thd1 property. This would inolude name(s) of applicant(s) if not cumnt owner(s). <br />k an addendum to this application, please attach a separate list of · any other <br />pe r.;ons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant 1and Property Owner must sign this application. Please remember that ~ <br />yarlapge rumU~:ation is not complete ff the above information ha~ not been includ..9..d. <br />' ' <br />APPLICANT' Si SIGNATURE · . <br />The appli9ant 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 paymem) <br />and/or consult ant expenses incurred in rr:view of this applicatio11i and certifies that the <br />information 51.1:?Plied is true and comet to the best of his/her knowledge. <br />AJ'l'licants Sifil8lure ~ ~ Dato 11 \1;'.Y\D1-- <br />' <br />OWNER'S SIGNATURE . <br />The owner heII iby acknowledges end agrees to this application and further authorizes reasonable <br />en.tty onto the J>ro:perty by City st¢!; consu.Jtants, agents, Commission members 1 and Council <br />members for 'fllipoSes o investigation and verification of this request. <br />Owners Signa~.n:e _S:~~~~~-1\lmJs--~d!::=: ___ Date _ _;:~:::...;\\-,\ ~.;;;..:...~ .... '2.-____ _ <br />Applicant mu st have all subrnittals into the City offices 25 days before the Planoing <br />Commission 2-v [eeting. Planning Commission Meetings are held on the third Monday of each <br />month. Appl icauts mnst be present at all scheduled review meetings or the Plan11iDg. <br />Com.mission a.nd CoundL If an applicant is unat:,te to attend a scheduled meetu:ig. please <br />make arrangeo11:nts to have an authorized agent attend in your place and to advisetlie Building <br />& Zoning Oftl1:e of this change prior to the meeting. <br />#2,799 7