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<br /> �EC�UIR�D �UF3MITTALS: � .—
<br /> �11I o�F th� following inform�tian must he submitt�d by tl�e �ppllc�tidn d��dlii7� dat� in order for your
<br /> applicatir�r� to be proc�s��d.
<br /> [� Pr�-Applicatiqr� Meetinc� Form, co�-ilpletetl by a City Pl�nn�r�, '
<br /> �1 �ompl�t�d Applic�tla�� Forrri •
<br /> ❑ Gamplet�d I�(�rdshi� D�GUment�tion �orm
<br /> �f1• C�rtified PrvperEy C7wners �ist--�wn�rs wfthin 1.50' oF th� subj�cfi �raperty, I�bels and plat map.
<br /> List, (dbels and m�p m�y he c�btain�:d fram H�nr�epin Gounty pep�rtment of Fin�nce,
<br /> Ga'vernment Genter, A-�Q� 3p0 South �i�h St�-eet, Minn�apolis, tel�phon� 6�2��4�3-5990
<br /> � Origii�al Cer[ificate of Survey (sign�d k�y �� IicEnseci surveyor), meetin� all tl-i� rcc�uirement�
<br /> listed wifihin �this paGket, il7�fudii7g h�rdcc�ver G�I�;ufatians. Also provid� oi�� cppy $,G" X ��" or
<br /> 1�"x 17"for r�productian.
<br /> � Cc�rnplete� hardGpver c�l�ulafiiari wdrksh�ets (as prc�vided wi�thin�th�: v�rianc� �aGket).
<br /> � Topc�graphlG surv�y � including cxisting artd �ropns�d elsva��ons, aCtd proposed gr�din� ancl
<br /> drain�ge. '"Far lakeshore propelti�, Eh� c�i�tours should fae ahnwn ex{erlclin� 50' ir7kr� 'thC�:
<br /> adjaccnt prop�rlies. f'rovide�r�e c�,py�,5'�X 1'i"c�r '11" x 17"far repraductit�n:
<br /> Cl �ketches Qr plans of floAr�nd Glevatior7 vl�ws (provic.��on� cppy$.5" x 11" or 1�";c 17°).
<br /> ❑ Additional it�ms may be r���uested by City St�ff depending on the sco�e pf the pro)ect. '"
<br /> APPLf�ANT'S ACKNOWL,EDG�MEN"f:
<br /> The ap�lic�ni h�t�by agrae's tQ provi�� al! inform�tion required or requ�sted by �khe P�annir7g
<br /> Deparkrn�nt, �grees to pay add��iona) f�es (�taff tim� nc�t �avered in the ari�ir7�f fiee paym�nt) �nci/or
<br /> cUnsult�nk expenses lncurred in rovieW of this �ppl(c�tion ai�d certifies th�t the inform�tion suppfi�d is
<br /> true at�d correct to the b�st of his/her knt�w{edgE. Thq applicant rQcQgni�es ttla# h�/she is solely,
<br /> respot�sible fpr submittittg a cqtt��plete app��catrdrt #�ing aWare �hat upc�n f�ilure �� do �o, the
<br /> �kafF has r�o alterllative bu# fo r�ject it �ntil it is cotl7plet� �r fo rec4mtnend the r�quest for
<br /> d��ial of the requ�s� regardl�s� afi it� pot� ` ! m it.
<br /> Applicant's �igna�u� ;�.�.,�-c' r p�te: `�'–�„�a"--d,�
<br /> ��P�����nt'stSf t�ro.�, • �• „_..
<br /> �,.,;c.�,,i, s..: £;�° �n�...,_: .� �.. ��/ � P C�afe�• o /�
<br /> . ��"i�.itt\:�1
<br /> C�WNER'S ACKNt�W�.�I�GEMENT: •
<br /> The owner here�y �c!<r�owl�dges �nd a�rees fo this appli�ation �nd further �uthori7es r��snnable
<br /> ontry onto the prop��ky by �ity Staff, consult�ants, aqents, �ommission & Council M�mbers for
<br /> purpos�s of investiga,�ln�.l-a�d v,erifi��tion r�f t est.
<br /> nwner's Signat rJ e: ���„ �r-� I', F[� y�1 �C.�/^'
<br /> p•./�y,�i�F�,�i��(Jy���s�C�.4!«I 1rt.Pr. J � L ./� � r��� LJ�LI�. `�r-�f w^V�} �..��
<br /> LFf.3�P:�Sr°�t id�F:,pTSiSy},�'�.;A'65Y'..t`Fi.iY.�/° y• I.���Z_i�� . /1/rri� �iJ� y}'�r'�1.te� �b � �
<br /> � ��� :: ;
<br /> �pplicant must hav� all submittal� inta fihe �iiy offices 25 d�ys before: the Plannirig Cummission
<br /> Me�ting. Pl�nning Ct�mmissidn Meefiir�gs are nori��lly held on tho third Monday of ��ch manth.
<br /> Appfic�nts must k�e present at a!I schedulpd r�vjeuv rneoKings c�f the Pianning Cammissian �kyd
<br /> Gouncil. If an �pplic�n# is un�ble to �ttond � scheduled me�tinc�, pleas� m�l« Arrang�m�n�ks to
<br /> I�av� an autharized repres�nk�tiv� attend in pl��� of fih� appliaani arid advise thc� Clty P�ann�r
<br /> a�slgn�d to your proj�ct.
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