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1 , . I <br /> �R QUIRED SUBMITTALS � � � <br /> Completed Application Form. � <br /> 2. 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�e obtained from Hennepin <br /> County Department of Finance, Government Center, A-603 300 South 6tn <br /> � Street, Minneapolis, telephone 612-348-5910). ' <br /> �41 Certificate of Survey (signed by a licensed surveyor) - refer to handout for <br /> �J survey information. <br /> 5. 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. .List of the legal names (include marital status) of afl 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 9 COPY <br /> FOR REPRODUCTION ('11" X 'I7" OR SMALLER) FOR ALL D�CUMENTS � <br /> SUBMITTED. (Staff wil( require scaled drawings of all documents, plans, etc. to be <br /> submitted.) <br /> The Applicant and Property Owner must sign this appfication. Please remember that <br /> your application is not complete if the above information has not been included. � <br /> Certification by Clerical Depar�ment that Land Use Application is complete. <br /> Initials of Clerical Staff: Date <br /> APPLICANT'S SIGNATURE <br /> The applicanfi 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 supplied is true and correct to the best of his/her knowledge. <br /> Applicant's signature��,c_o �ll�� Date jo-�/-(�J`� <br /> OWNER'S SIGiVATURE � � <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry onto the proper�y by City staff, consultants, agents, commission <br /> members, and Council members for purposes of investigation and verification of this <br /> request. � <br /> . � � � <br /> Owner's signature I 1/ y��-�iC. Date (p -02 /JOc� <br /> Applicant must have all su mittals ntb the City offices days before the Planning Commission Meeting. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present <br /> at all scheduled review meetings of the Planning Commission and Couricil. 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 /> �� n �'.'���,,, �*, <br /> i %::^� r.^; /�''�` ti';, <br /> .•,• '�� `;''.S f <br /> ��, i f;-; :;a u�i..., ,;:; ,1 �; i�, <br /> .L� �'�. Q'v :'; LL•:..'� '4�.�y:�/I{.�'i <br /> Lvy�tte���7' t�} �� S,.� � J�. <br /> (' i: �:� �f::� <br /> f'� /1 . - ...._�.s �. ' .. � _Ci..: <br /> P: �:' ,1'.� ..� <br />