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�., �,,,,, . <br /> ( <br /> 4� . � <br /> f <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 6tn <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 exp nses incurred in review of this application, and certifies that <br /> the information supplied is and correct to t st o is/her knowledge. <br /> Applicant's signature � Date / '' � � � � <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry onto the properly by City staff, consultants, agents, commission <br /> members, and Council members for purposes of investigation and verification of this <br /> request. <br /> i— <br /> Owner's signature Date ��- � °� o �. <br /> Applicant must have all subm als into the City offices 25 days before the Planning Commission Meeting. <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 /> 9 �aN 5 Zoo9 <br /> ����o� ��o�� <br />