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REQUIRED SUBMITTALS 1. 2 . 3. 4. 5. 6 . 7 . 8. 9. ---Completed Application Form. ---Describe request in detail. ___ Certified Property Owners List of owners within J.§Q_ of the subject property, --- --- labels and plat map. List, labels and map may be obtained from Hennepin County Department of Finance, Government Center, A-603 300 South 6 th Street, Minneapolis, telephone 612-348-59 10) . .J eJ)o Certificate of Survey (signed by a licensed surveyor) -refer to handout for survey information. Attach legal description to application if not included on required survey. ___ Topographic survey (existing and proposed contours) if land alterations involve changes in elevation (grades). ___ . List of the legal names (include marital status) of all persons with an interest in the property. This would include name(s) of applicant(s) if not current owner(s). · ___ Construction plan, if applicable (see staff for requirements). ___ As an addendum to this application, please attach a separate list of any other persons you wish notified of this application . YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require scaled drawings of all documents, plans, etc. to be submitted.) The Applicant and Property Owner must s ign this application. Please rem~mber that your application is not complete if the above information has not been included . Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff: _____________ Date _______ _ APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is tr e and corrnct to the best of his/her knowledge. OWNER'S SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants , agents, commission members , and Council members for purposes of investigation and verification of this request. Owner's signature .(L,~~~L...L.-(..,,,LL.~~144"'b----------::-c--Date 3 -,e-b].. Applicant must have al submittals into the City offices 25 days before the Planning Commission Meeting. Planni ng Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled re view meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place #a .. '"-:':,'tr,e t ~ld1n g,,, ,,., .. 'Q._. ·n~--~-·c: of this charge prior to the meeting . •'"•-.ii;~("# Al.,. f 6 --· .,,,.._ .... •. . \