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• From: U4/1�%lUUb Uy:�y �tJl! N.UU1 <br /> ' t+Nk-iy—CUUbIWCUJ u�, ui ' f�. uutiuu� <br /> , , <br /> . ' <br /> REQUIR6p SUBMITTALS • <br /> 1. �Gompleted Applicativn Form. . <br /> Z. Describe request in datali. <br /> 3. �Certified Proper�y �wners List of Qwners within 35�' vf the subject property, <br /> labels and •plat map. List, lab�ls and map may b� ob#ained fmrn Hennepin <br /> County Department af Financa, Gvvemm�nt Center, A-603 300 5outh 6�' <br /> Street, Mfnneapolis,tetephone Q92-348-5910). <br /> 4. C�rtlfiaate ef Sulvey (signed by a licen�ed surveyor) - �efer to handouf for <br /> survey lnforrna6an. <br /> 5. _�Attach IQg�1 dascription tv application If naf included on requfrod survey. <br /> 6. Topographic survay (sxisting and proposed �antours) if. land alterations <br /> �nvofve chsng�s in alevativn (grades). , � <br /> 7. Li�x of tha(egal names(include marital status) of all persons wifh an �nter�st in <br /> #ha propetty, Th9s would include name(s) of app�l�ant(�) if net curr�nt <br /> �. �owner(s). <br /> Construc�ivn plan, if applfcable (s�e staf�for requirements). <br /> 8. As an addendum to this appllcatlon, pl�asa�ttach �separate list of.any othar <br /> persvns yau wlsh notifed of thls application. <br /> YOU ARE REQUIRED TO 9UPPLY 3 COPIES OF LARGE DOCUMENTS ANp 1 COPY <br /> FOR REPRODUCTION (1'f"X 17"OR SMALLER) FpR ALL DQCUMENTS <br /> SUBMt7TED. (Staf�w111 require sca(ed drewings of all aacuments, pfans, a#c. to be <br /> � submitt�d.) . � <br /> The Appticant and Prope►ty�wner must sign this appliwtion. Please remember that your , <br /> appl(cation Is nat compieta if the above informativn has not heen Included. <br /> C�rtlflc��on by Cleria�l pep�rtmant tf�a#�and Use Appllcatlon is complsta. <br /> Initials af Cl�rlca) StafF. � Qate <br /> APPLICANT'S �IGNATURE <br /> The applic�n# heroby agre�s #o provide all i formation �aquirod er requssted by tha <br /> toning Administrator, agrees fo p addition fees (staff time not covered by�origtnal fee <br /> p�yment)and�or unusyal expen incur n revlaw of this applir.atien,and certiBes�thet <br /> thp lnformatlon supplied (s tru nd co to the Dest of hfs/her knawiedge. <br /> ApplicanYs signature Data / � <br /> OwNER�S SIGNATURE � <br /> Tha awner hereby acknowledges �nd �graes fa this epplicativn and further aufhorfzed <br /> reascnable entry onta the property by Ci�r staff, cansultar�ts, agents, cvmmission <br /> members, and Councll rnembers for purpQSes vf Investi,gation and verifcat(on of this <br /> request. � <br /> i � <br /> Ow�er'�signature � ,c.dk�" Date <br /> Applleant muat haw v1 e 'iCals' th CiXy officea 25 day�befon the Planning Cornl7'rliasion� <br /> Plannlnp Camrrtiasion Maatings ar eld on the third Monday af esch rrlonth. Applicants must be present <br /> at vlt �chadule�d re�iew meeUngs of the Planning Cammla�ion end Gouncil. If an applicant is unable tv <br /> attend�1 scheduled meating, plQes�rrlak�erra�ppements to have an authorized�ger►t attend In yvur place <br /> and advlse the Bullding�,Zoning affice of this change prlerto the meeting. <br /> . . � <br /> 7 �. �: �`1 ' �1� , <br /> g�.�%�'?';r t::,°`: i �'' �?:; :,f•�`�'k;, . <br /> . . � r�e`1 ��.I �.'�I' t`. ;`:, `4 .. . <br /> w.�� t••.j .�I•, '4•�' S:�f <br /> G'C�, r '+.`!) J t�:i .. " �"'� /:?:ti '1 <br /> � ,` <br /> '���i� p. . �'•J �,.� ' .z- i 1 h <br /> (. C'l•w,(�A <br /> ` � ,�+H�y ; 1'ii� � Y` '��j � <br /> p � y <br /> •�j r �"�K „t;� Y' L:7:r;+�8?.1� �LS.�' �� . <br /> �':�'„t+.3r�.d' <br />