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REQUIRED SUBMI7TALS <br /> 1. x Completed Application Form. <br /> 2. X Describe request in detail. <br /> 3. _ �C Certifled 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 /> Govemment Center,A-603 300 South 6`h Street, Minneapolis,telephone 612-348-5910). <br /> 4. Certificate of Survey(signed by a licensed surveyor)-refer to handout for survey fnformation. <br /> 5. Attach legal description to application if not included on requfred survey. <br /> 6• Topographic survey (existing and proposed contours) if land alterations involve changes in <br /> elevation(grades). <br /> 7. List of the legal names(include marital status)of all persons with an interest in the properry. <br /> This would include name(s)of applicant(s)if not cuRent owner(s). <br /> 8. _� Construction plan, if applicable(see staff for requirements). <br /> 9• As an addendum to this appiication,please attach a separate list of any other persons you wish <br /> notified of this application. <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 alf documents,plans, etc.to be submitted.) <br /> The Applicant and Property Owner must sign this application. Please remember that your application is not <br /> complete if the above information has not been included. <br /> APPLICANT'S SIGNATURE <br /> The applicant hereby agrees to prov(de all information required or requested by the Zoning Administrator, <br /> agrees to pay additional fees (staff�me not covered by original fee payment) and/or unusual expenses <br /> incurred in revlew of this application,and cert(fies that the information supplied is true and correct to the best <br /> of his/her knowledge. <br /> roperties L <br /> ApplfcanYs signature ��J Date `2 LZ � <br /> Pe e . o son, orn y gent � <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this appiication and fu�ther authorized reasonabie entry onto <br /> the properly by City staff,consultants,agents,commission members,and Council members for purposes of <br /> investigation and veriflcaf is re uest. <br /> W PRO IES, L <br /> Owner's signature � Date ZZ � <br /> Pe er . son, orn a gent <br /> Applicant must have all submfttals into the City offices 25 days before the Planning Commission Meeting. <br /> Planning Comm(ssion Meetings are held on the third Monday of each month. Applicants must be present <br /> at all scheduled revlew 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 /> RECEIVE� <br /> SEP � � 2009 <br /> CUP and Other Land Use Applications �+�T�0��R��� <br /> Last Updated: May 26,2008 <br /> 9 <br />