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<br /> :�e#Tf6- 134/3�ta/Pages 94J
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<br /> �EQUIRED SUBMlTTALS: _.. _ .. . . . ... ---_•- --. •—
<br /> �1lI of thG fallawing informatian musi be submitf�d by the �pplic�tion d��dfine ciat�: in order fve your
<br /> applicatlr�r� to be proces�Qd.
<br /> l� Pre-Applicatiqrl Meeting Form, conlpleted by a Cily Pfanner'.
<br /> f� �ompl�t�d Appiication Farm •
<br /> ❑ Complet�d I�lardship Document�tion Form
<br /> �I� Certified PrvperEy Owners List�-dwn�rs within 150' of th� �ubjecfi�roperEy, I�bels and plat map.
<br /> List, labels and map may be abtain�d frarn H�nnepin Gouniy Department of Finance,
<br /> Government Center, A-6U3 300 So�th 6�h Stree�, Minn�apolis, telephon� 6�2�34�3_�g�p
<br /> Cl Uriginal Cer�ificate of Survey (sign�d by � (icensed surveyor), m�etinq all th� rcquirement�
<br /> listed wifihin this packet, incfudii7� h7rdcov�r c�lcu(afiians. Afso pravid� on� c�py 8.5" x '11^ c��
<br /> 11°x 17'"for r�productipn.
<br /> t� Complef�d I��rdc.4ver c�l��ilatiQri worksheetS (as prc�vided Within�th�: v�rianre p�Gk�t).
<br /> � Topc�graphiG surv�y � including �xisting and �ropos�d e(svations, and proposed �r�ding an�l
<br /> drain�ge. �'�or lakeshore propetti�� Ehe Gantaurs should he �hnwn �xtertdinc� 50' irlta ihc�
<br /> adjacent prop��ties. Provide one cppy�.5'�x 11" ar '1�"Y 17"for reproductipn.
<br /> Ci Sketches ar plans of floor�►�d elevation vi�ws (provi�e ope copy$.5" x 11" or 19"x 17").
<br /> ❑ Additional it�ms may f�e re�uesteci by City Staff d�r�endin� on the sco�e af the project. '"
<br /> APPL(CANT'S ACKNC7}NLCaG�MEN"f:
<br /> The applic�nt heteby agraes to provid� ail inform�tic�n required or requ�sted by �he F�lannir�g
<br /> Depari:rnent, agrees to pay addition�I f�es (�taff time nc�t Govered in the origlnal fiee paym�nt) �r�d/or
<br /> c�n��alt�nk expenses incurred in rovieW of this application and certifies fh�t the information suppli�d is
<br /> tr'ue and correct to th� b�st af his/her knt�wledge, Tho applic�nt r�GOgni�es that helshe i� solely
<br /> rasponsit�{e for submitxi�tg a catriplete applioafion b�in� aware �ha� u�on failur� xr� do �o, the
<br /> skafF has r�o alterrtative but fo rsject it until 9t is cor�rtplete or fo recommend the r�quest for
<br /> dettial af the reques� t-egardlass ot its pofie ' I rr� it,
<br /> App�icant's Signafur� � -
<br /> � /icr-��- l]�te: �-�,I'��'--o,F;
<br /> ��pP�ir��nt's Sign�turo� � =� � d ,
<br /> s,<.:�,,,,. ,�: . .. x.., -� �� 1� _ J''��-/ ^�r t7ate�, o /��
<br /> � ����;4 t A...5�%; t ( •
<br /> (�WNER'5 ACKNUW��DGEMENT:
<br /> The owner hereby ac!<nowl�dges and agrees fo this appfi�ation and furCher �uthori7es r��s�nable
<br /> entry onto th� prap�rky by Gi�ty �taff, coi��ultants, agents, �ommissian & Cdunci( M�mbers for
<br /> purpas�s of investigatins.l-�.c(.,verifiaation af t ' est. �
<br /> Qwner's Signat r�t e: r � �r.•� ..ca,�-��� Dat�• .._-/ ..-
<br /> Ow�1�r��s Sign�tu�e: `/ i • ?�' 1`� �'�
<br /> `��xLrrrs�hc.}�r�;:h�..lw`.+�:ix::=r" y=C��%r�l� ^� %� �1Qrr.ltA:',.a l d � / —�,.
<br /> a:;.=:`-..a..�ri:M;, ���-� ^--
<br /> �pplicanf must hav� all subrr�ittals into th� Cify ofPices 25 days befor� th� F'lanning C:amrni��ion
<br /> Me�ting. Pl�nning Commission Meetings are norindlly held on thQ third Monday of each month.
<br /> Appficants must be pr�se�t at all scheclul�d revie+nr meo�ings of tf�e Pianning CQmmission attd
<br /> Gouncil. ff an �pn(ic�nt is unabl� to attond a �cheduled me�ting, please mal<e arrangeme�l:s fio
<br /> h�v� an �uthariz�d represcntative attend in �,la�e o�F fih� appliGant and advise tf�ca City Pfanner
<br /> assign�d to your proj�ct,
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