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REQUIRED SUBMITTALS
<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 />__ Certified Property Owners List of owners within 350' of the subject property,
<br />labels and plat map. List, labels and map may be obtained from Hennepin
<br />County Department of Finance, Government Center, A-603 300 South 6th
<br />Street, Minneapolis, telephone 612-348-5910).
<br />__ Certificate of Survey (signed by a licensed surveyor) -refer to handout for
<br />survey information.
<br />___ Attach legal description to application if not included on required survey.
<br />___ Topographic survey (existing and proposed contours) if land alterations
<br />involve changes in elevation (grades).
<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
<br />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 3 COPIES OF LARGE DOCUMENTS AND 1 COPY
<br />FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS
<br />SUBMITTED. (Staff will require scaled 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
<br />Zoning Administrator, agrees to pay additionalj,ees (staff time not covered by original fee
<br />payment) and/or unusual expenses incur ee!;irlreview oft ·s application, and certifies that
<br />the information su ·~gJ~_~ru~-and c~r Cj,/~_,the best -~nis/her knowledge. I
<br />Applicant's signature -------·· ~-., "-...,,.,,....,.. Date 'i: ~1' W
<br />OWNER'S SIGNATURE
<br />The owner hereby acknowledges and agrees to this ap lication and further authorized
<br />reasonable entry onto the property by Cit)I staff, consultants, agents, commission
<br />:~~:s~rs, and Co~ members for P)'zes of inve ligation and verifica/tion of this
<br />Owner's signature ~ ---_ --, 1/U.,,.,,,.. ',H~,&,,,,1..,,.,...,..~ Date 4 ~ )o ➔
<br />Applicant must have all submittals into theCity offices ,/ days before the anning Commission Meeting.
<br />Planning Commission Meetings are held on the third ,onday of each mo . Applicants must be present
<br />at all scheduled review meetings of the Planning C · mission and Cou -ii. If an applicant is unable to
<br />attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place
<br />and advise the Building & Zoning Office of this change prior to the meeting.
<br />7 f1 i t1·+•:'_: '· 'i !,. ;,·
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