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- F�EqU1R,ED SUBMITTAL.S ' ,. ' � � . �'3� �. ` :`�''�`��. - <br /> . �� � •,N t <br /> �>�. •,�����.`4 !"/'�. <br /> 1. Completed Application Form. � � � ��� <br /> 2_ Describe request in detaii. � ' ;��� �� <br /> ' 3. Gertified Property Owners List of vwners within 350' vf the subject pr ���' ��� ,'' ,'{'' <br /> �,: <br /> labels and plat map. List, labels and map may be obtained from Hennepin <br /> County Departm�nt of Finance, Governmenfi Center, A-803 3 0 South 6�' <br /> Street, Minneapolis, telephone 612-348-5910). ��c��? a� �Q� �E�t16� <br /> 4. Certificate of Survey (signed by a {icens�d surveyar) - refer to handout for � <br /> ' survey information. ��r► Cd, `Tl�.�.w,.- <br /> 5. Attach legal description to application if not included on required s rvey. <br /> 6. Topographic surv�y (existing and proposed contours) if land alterations <br /> involve changes in elevation (grades). <br /> 7. .List of the legal names (include marital status) of all p�rsons with an interest in <br /> the property. This would include name(s) of applicant(s) If not current .���;-`��� <br /> `� '���;�N.:;,����,.�,e,, . , � ` � ��� <br /> � 8. Construction plan, if applicabl� (see!staff for requirements). � ��� <br /> , �� � :;;. <br /> 9. As an addendum to this application, please attach a separa�e list of any other ' ' <br /> perso�s you wish notified of this application. <br /> YOU ARE REQUIR�p T� SUI'PLY 3 C�PI�S OF �ARGE DOCUMENTS•AND 'l COPY <br /> �OR REPRODUCTI�N �11�� X ���� OR SMALLER) �OR AL.L DOCUMENTS <br /> SUBMITTED. (Staff will require scaled drawings of all dacuments, plans, etc. to be <br /> submitted.) . . . . .' � . <br /> Th� Applicant�and Property �wnc�r must sign this application. Please�remember that <br /> your application is not complete if th� above information has nat been included. <br /> Certification by Clericaf Department that Land Use Application is complete. <br /> Initials of Clerica( Staff: Date <br /> APPLICANT'S S(GNATURE <br /> The applicant hereby agrees to provide all information required or requested by the � <br /> Zoning Administrator, agrees to pay additiona(fees (staff time not covered�by original fee <br /> � , and/or,unusual expenses incurred in review of this a p,li. '� ' i �'` <br /> � a��:, <br /> �'rt�supp�ied-�is true and cn�rect to the besf'nf� � . ,� : <br /> Applicant's signature � Date . <br /> ;.. . <br /> OWNER'S SIGNATURE ' � +�-� ,.�`� <br /> The owner hereby acknowledges and agrees to this appfication and furth�r e�dtQ��� '.;,'��. <br /> reasonable entry onto the property by City staff, consultants, agents;.:�. �..,;-',...�;, ;.' �:.: <br /> members, and Council members for purposes of investigation and veriff�cat�n of'th��.`. ; <br /> re�uest. � . . � j� • <br /> � ' � �.�—�—Date � �✓�O ` �' .: <br /> Owner's signatu�e � � � <br /> Applicant must have all su mi�tals into the Ci � es 5 days before th� Planning Co �mission Mee' � ',!+�. , <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be P� �.. <br /> at all schedufed revi�w meetings oF the Plannfng,Commission and Couricil. If an applicant is una �:�,� <br /> attend a scheduled meetirlg, please make arrangements to have an authorized agent attend in your. . ;.; <br /> and adv(se the 8uildi�g & Zoning Office of this change prior to ihe meeting. ;;;,� p�.� .f <br /> ,. <br /> :.�• • <br /> . . '; <br /> � 6 • • <br /> II •RAY�IfR <br /> b0 3�Jdd L08ZLSbT99 � ZZ�9T 599Z/L0/Z0 <br />