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a <br /> REQU(RED SUBMITTALS � <br /> 1. x _Completed ApAfication Form. <br /> 2- x Describe requesf in detail. , ' <br /> 3. x Certified Property Owners List of owners within 350' of fhe subject property, labels and plat <br /> . map. Lisi, labels and map may be obtained from Hennepin County Department of <br /> Finance, Government Center, A-603 300 South 6�h Street, Minneapolis, telephone 612-348- <br /> �910). <br /> 4, x Certificate of Survey(signed by a licensed surveyor)- refer to handout for survey information. <br /> 5• Aftach legal descript(on to applfcation if not included on required survey, <br /> 6• Topographic survey(existing and proposed contours) if land alterations involve changes fn <br /> ~elevatlon (grades). <br /> �• List of the legal names(include marital status)of all persons with an interest in the property. This <br /> would include name(s)of applicant(s� if not current owner(s). � <br /> 8• Construction plan, If applicable(see staff fvr requirements). <br /> 9• As an addendum to this application, please attach a separate list of any other persons you wish <br /> notified of this applicativn, <br /> YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR <br /> REPRODUCTlON (11"X 17"OR SMALLER) FOR ALL DOCUIVIENTS SUBMITTED. (Staff will require <br /> scaled drawings of all documents, plans, etc.to be subm(tted.) � <br /> The Applicant and Property Owner must sign this application. Please remember that your applicaGon is not <br /> cornplete if the above information has nat been included. <br /> Certification by Clerical Department that Land Use Application is complete. � <br /> Initials of Clerical Staff: Date <br /> APPLICANTS SIGNATURE � <br /> The applicant hereby agrees to provide alf inforrnation required or requested by the Zoning Administrator, <br /> agrees to pay addifional fees afftime.not covered b�original fee payment)andbr unusual expenses incurred <br /> in review of this app�ication, d rt�es that the infom�ation supplied is true and correct to the best of his/her <br /> knowledge. •f <br /> � <br /> Applicant's signature Date �/!�/�� <br /> OWNER'S SIGNATURE <br /> The owne� herebv acknowleds�es and aqrees to this application and further authorized <br /> �easonable entrv onto the proAerhr bv Ciiv sfaff, consultants, aqents, commission <br /> members, and Council members for purposes of investiqafion and verification of this <br /> req uest. � <br /> Owner's signature ^ � ' �;�,�"'J�;3,ti'�L, <br /> `"�u�L�• � � Date �� �� <br /> AppUcant must have all subml[tals Into the Clty oifices 25 ays before the Planning Commission Meeting. Planning <br /> • Commission Meetings are held on the third Monday of each month. Appllcants must be present at all scheduled review . <br /> m�etings of thQ Planning Commission and Counclt. If an applicant ts unable to attend a scheduled meeting, please <br /> make arrangements to have an authorized agent attend in your place and advlse the Buildfng&Zoning Office ofthis <br /> chenge prlor to the meetltlg. <br /> ,. F�;:�c—V�t'� f._.m�. JJ " <br /> ''` (rt. Y'N`"t�: `,� <br /> -1 �.� ;;� i�� ;��_, �� �''; ;;p <br /> rf4r; �� �ry <br /> . �I��ii: �.^.� ��'� S':1 �.`.��`r1 �+tl . <br /> �. • ����� 11 L.'� �� 3 <br /> �N'J �1 /y.n yo,I. (/. ���� 4�-� �r�t <br /> 4'a'47.':7.'i4i"� �r�+nL"ei�l�� . �:js.,.-�.`�r,�' u..t:S -. . <br /> �w.� <br /> Z '°� 8B�bZ—�bO�b—ZS6 uos j..te� p i neQ d00 = T O 90 6'[ -�dl <br />