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� . <br /> . ' , � <br /> REQUIRED SUBMITTALS <br /> 1. X Completed Appfication Form. <br /> 2. X Describe request in detail. <br /> 3• _� Cer.fified Property 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 /> Govemmer�t Center, A-603 300 South 6�h Street, Minneapolis, telephone 612-348-5910). <br /> 4. �_ Cerfificate of Survey(signed by a licensed surveyor)-refer to handout for survey informafion. <br /> 5. ,�_ Attach legal description to applicafion if not included on required survey. � <br /> 6. _� Topographic survey (exisfing and proposed contours) if land alferafions involve changes in <br /> elevafion(grades). <br /> 7. _� Lisf of the legal names (include marital status) of all persons wiff� 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 this applicafion,please attach a separate list of any other persons you wish <br /> nofified 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 subrnitted.) <br /> T.he Applicant and Property Owner must sign fhis application. Please remember that your applicafion�is not <br /> complete if the above information has not been included. <br /> APPLICANT'S SIGNATURE <br /> The applicant hereby agrees to provide all information required or requesfed by the Zoning Administrator, <br /> agrees to pay addifional fees (staff fime not covered by original fee payment) and/or unusual expenses <br /> incurred in review of this applicafion,and certifies that the informafion supplied is true and correct to the best <br /> of his/her knowledge. <br /> �--� ,����i� <br /> ApplicanYs signature ��/,/��� �7"�" � .Date =i �' ;i C� <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this app(ication and further authorized reasonable entry onto <br /> the property by City staff, consultants, agents, commission members, and Council members for purposes <br /> of investigafion and ve;ifcafion of this request. � • <br /> Owner's signature . ��. �a� �i1 �-- Date � i j c� <br /> / <br /> Applicanf must have all submittals into the City 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 applicant is unable to <br /> attend a scheduled meeting, ple2se make arrangements to have an authorized agent attend in your place <br /> and advise the Building &Zoning Office of this change prior to the meefing. <br /> . 9 <br />