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__� . �.�_____�_.:T,_ --.� �__�_.._-_ ___.__ �_..�_ _ - ,__ - -- <br /> ----�--__ -_-__ _..��..---r.._.._.__...:�:_ _ <br /> - -- .__ �.._._T. <br /> REQUIRED SUBMITTALS _ <br /> 1. X Completed App(icafion Form. <br /> 2. X Describe request in detail. � <br /> 3• X Cer.fified Propetty Owners List of owners within 350' of the subject property, labels and plat • <br /> map. List, labels and map may be obtained from Hennepin County Department of Finance, <br /> Govemment Center,A-603 300 South 6�h Street, Minneapo(is, telephone 612-348-5910). <br /> 4. �_ Certificate of Survey(signed by a ficensed surveyor)-refer to handout for survey information. <br /> 5. � Attach legal description to application if not included on required survey. <br /> 6. �_ Topographic survey (exisfing and proposed contours) if land alterafions involve changes in <br /> elevation(grades). • . <br /> 7. _� List of the legal names (include marital status) of all persons with an interest in the property. <br /> This would include name(s) of applicant(s)if not current owner(s). � <br /> 8. X � Construction plan, if appficable (see staff for requirements). � <br /> - 9. As an addendum to fhis application, please attach a separate list of any other persons you wish <br /> notified of this applicafion. <br /> YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR � <br /> . REPRODUCTION (11"X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. (Staff will require <br /> . scaled drawings of all documents, plans, etc. to be submitted.) <br /> The Applicant and Property Owner musf sign this app(ication. Please remember that�your applicafion�is not • <br /> - complete if the above informafion has not been included. - <br /> APPLICANT'S SIGNATURE -- - -- - — - - <br /> , The app(icant hereby agrees to provide all informafion required or requested by the Zoning Administrator, <br /> agrees to pay addifional fees (staff time not covered by original fee payment) andlor unusual expenses <br /> incurred in review of this applicafion, and cer�ifies that fhe informafion suppfied is true and correct to the best <br /> of his/her knowledge. � � -• � • <br /> �—�'� ` j��, <br /> � � ApplicanYs signature ��/�i�� `)`� ��' .Date � �' " �� <br /> OWNER'S SIGNATURE � <br /> The owner hereby acknowledges and agrees to this appficafion and further authorized reasonable entry onto <br /> the property by Cify staff, consultants, agents, commission members, and Council members for purposes <br /> of invesfigation and ve�ifcation of this request. ' • <br /> Owner's signature .�,%`_� �ajG � � <br /> �1.c �.e Date i j c-, <br /> Applicant must have all submitfals into the Cify offices 25 days before the Planning Commission 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 applicanf is unable to <br /> attend a scheduled meefing, 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 /> . .. .__. _ _ _ - - ------ __.__ __ - _ _ _. . .. - --- ._. , ... � . _ <br /> -_ ____ . _ - -- - <br /> _._ , _ g . ; <br />