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� T <br /> I � i <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 6�' <br /> Street, Minneapolis, telephone 612-348-5910). <br /> 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout fior <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 appfication. � <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 grees to provide all information required or requested by the <br /> Zoning Administrator, a rees to pay ditional fees (staff time not covered by original fee <br /> payment) and/or unusua e penses i c rred in review of this application, and certifies that <br /> the information supplie is ue amd or ec to the best of his/her knowledge. � <br /> Applicant's signature t�� i-� i ' �( Date �°�`�V"� <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized <br /> reasonable entry , o the prop rty by City staff, consultants, agents, commission <br /> members, and Coun 'I members r purposes of investigation and verification of this <br /> request. <br /> � • ' � 1� C 1 IZ— � -��s <br /> Owner s signature . `C'r Date � <br /> Applicant must have all submittals 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 O�ce of this change prior to the meeting. <br /> • 9 RECEI1��p� <br /> . . DEC � � 200� <br /> CITY OF UROAIn <br />