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REQUIRED SUBMITTALS <br /> 1. X Completed Application Form. r� <br /> 2. �_ Describe request in detaii. – �:1� ��►�-•�� ��! �-2q��. <br /> 3. X Certified 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 /> Government Center,A-603 300 South 6"'Street, Minneapolis,telephone 612-348-5910). <br /> 4. X Certificate of Survey(signed by a licensed surveyor)-refer to handout for survey information. <br /> 5. Attach legal description to application if not included on required survey. <br /> 6. X 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 property, <br /> This would include name(s)of applicant(s) if not current 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 persons you wish <br /> notified of this appiication. <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 SUBMI'ITED. (Staff will require <br /> scaled drawings of all documents, plans,etc.to be submitted.) <br /> The Appiicant and Property Owner must sign this application. Please remember that your application is not <br /> compiete if the above information has not been included. <br /> APPLICANTS SIGNATURE <br /> The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, <br /> agree.s to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses <br /> incurred in review of this application,and certifies that the information supplied is true and correct to the best <br /> of his/her knowledge. <br /> ApplicanYs signature — Date � 21- �°1 <br /> Pe . Jo son, as attorney <br /> for Wagener Properties, LLC <br /> OWNER'S SIGNATURE <br /> The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto <br /> the property by City staff,consultants,agents,commission members,and Council members for purposes of <br /> investigation and verifi ion of this request. <br /> Owner's signature 1 Date � ZZ � <br /> Pet W Johnson, as ttorney for Wag ner Properties, LLC <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 /> ��EIVE[� <br /> �stUpdat�ederMay 26,2009p�i�tions �EP 2 � z009 <br /> �'�(�F ORONO <br />