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. � , ' � . ' r ( . <br /> REQUIRED SUBMITTALS � - � <br /> 1. _�Completed Application Form. � , � �. . <br /> 2. _�.Describe request in detail. " . � � <br /> 3. Certified Property Owners List of owners within 350' of the subject property, ��� . � <br /> labels and plat map. List, labels and map may.be obtained from Hennepin . <br /> . County Department of Finance, Government Center, A-603 300 South 6rn . <br /> Street, Minneapolis, telephone 612-348-5910). <br /> 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout for <br /> 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 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 REPRODUCTION (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 your <br /> 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 that <br /> the information supplied is true at�.d� correct to the best of his/her knowledge. <br /> la.z J M (Y��+Ri.3-i-Qa <br /> Applicant's signature --� Date t �o 0 <br /> OWNER'S SIGNATURE ��y � ��� <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry onto the property by City staff, consultants, agents, commission <br /> members, and Council members for purposes of investigation and verification of this <br /> req uest. W�� P�,�a.,..�, , t,.�.c. <br /> Owner's signature � ��� --- ��� �- Date � 3d a� <br /> Applicant must have all ubmittals into the Ci offices 5 days be ore the Planning Com ission eeting. <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 Council. 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 /> ` ;� {�' .. ' �.` <br /> 7 �` }?r ti` ' . i <br /> r• ` }. .. . � . . <br /> J;�� w. . ,;, <br /> . . �,y�,�4, �-, � .. h._.. - .�... ;,� <br /> , . � ��'°C.:.S �f;, �a:��.�a: <br /> y��. <br />