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♦ <br /> i , <br /> REQUIRED SUBMITTALS � <br /> 1. X Completed Application Form. Y <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 6�' <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 ifi 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 marita!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 a,pplication. 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 i true and correct to the best of his/her knowledge. <br /> �(�ei��'�s G <br /> . Applicant's signature ilr�—J .� Date s � DF( <br /> h-ey a� . <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry onto the property by City st�aff, consultants, agents, commission <br /> members, and Council members for purposes of investigation and verification of this <br /> request. (,vT M Y���.er '�S, LL�. <br /> Owner's signatur � -f�-��nrne and�Date � G o� <br /> Applicant must have all su mittals into the ity offices 25 days before the Planning Comm' si Meeting. <br /> Planning Commission Meefings 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 /> 9 <br />