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- �� � " �cl ( 'yi�w'✓'�. ��1C.��� �e�Sf N �-c c�C.- c.�/° <br /> ��r° �_,� <br /> REQUIRED SUBMITTALS �1 ►� C7�S 1 � � z 3 3 �- <br /> 1. �' Completed Applicatian Form. �d�� <br /> 2. ,,/ Describe request in detail. �_ <br /> 3. �,,/ Certified Praperty Owners List of owners within 350' of the subject property, <br /> labels and plat map. List, labeis and map may�"fSe obtained from Hennepin '�"��.�-� <br /> County Department of Finance, Government Center, A-603 300 South 6tn l��h-c <br /> Street, Minneapolis, telephone 612-348-5910). �;c� � S" ,t�: ,� . <br /> 4. v� Certificate af Survey (signed by a licensed surveyor) - refer to hand uo t for �� � <br /> survey information. � � � <br /> �. , i�Attach legal description to application if not included on required survey. <br /> 6. � � Topographic survey (existing and proposed contours) if land alterations <br /> involve changes in elevation (grades). <br /> 7. t.,�':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 /> 8. �� ,%Construction plan, if applicable (see staff for requirements). <br /> 9. � 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 REPRODUCTlON (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 <br /> your 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 additional fees (staff time not covered by original fee <br /> payment) and/or unusual expenses incurred in review of this application, and certifies <br /> that the information s ; ied is true nd�co ect,to�he b st'o"�'.his/her knowledge. <br /> � , �-�...�' ` <br /> A licant's si natur� �'V�"r'�.� �'� �� � %�r��� '��t��`a�t � >� ;�`` <br /> PP 9 ;.--b�C�l� ._�'- E � 4�i � � 3 <br /> ; , ' � <br /> ; �_.._..--�` , <br /> OI�/NER'S SIG�lATl1RE +-�� <br /> The owner hereby acknowfedges and agre to this application and further authorized <br /> reasonable entry onto the property by City staff, consultants, agents, commission <br /> members, and Council• members f p�urposes of inve�.tig�ation and verification of this <br /> request. � <br /> �_ �..'�� �` -�z ��f I rr <br /> Owner's signature �� �;���''"�� `� �� �;;;;��Gf G��� ,-f%�l,,C'" C,[Yat� _ll '/� ����� � <br /> Applicant must have all submittals into the Citj�'office 25 days before the Planning�Commission Meeting. <br /> Planning Commission Meetings are held on the third onday of each month. Applicants must be present <br /> at all scheduled review meetings of the Planning Co mission and Council. If an applicant is unab(e to <br /> attend a scheduled meeting, please make arrangeme ts to have an authorized agent attend in your place <br /> and advise the Building & Zoning Office of this change prior to the meeting: <br /> � <br />