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REQUIRED SUBMITTALS <br /> 1_ �„_ Completed Apptication Form. <br /> 2. �_ Describe t�quest in detail. <br /> '3. � Certified Property Owners List of owners within 350' of the subject property, tabels and plat <br /> � map. List, labels and map may be obtainect from Hennepin County Department of Finance, <br /> ° Govemmerrt Center,A-603 300 South 6"'Street, Minneapolis,telephone 612-34&5910). <br /> 4. �_ Cerfificate of Survey(signed by a licensed surveyor)-refer to handouC far survey iMormation. <br /> 5. _� At�ach tegal descriptFOn to appticaiion if not included on required survey_ <br /> 6. �_ Topographic survey (e�asfing and proposed c�ntours) if land alter'a�ons invofve changes in <br /> elevation(grades). <br /> 7. �� List of the legaf names(inc{ude marifal statusj of all persons witFt an irrterest in the property. <br /> This woould include name(s)of applicant{s)if not current awner(s). <br /> 8_ n� Construcfion plan, if applicable(see st�if f�r requir�rrter�ts). <br /> 9. As an addendum to this application,please attach a separate fist of arry other persons you wish <br /> naiified of this application. <br /> YOU ARE REQUIRED TO SUPPLY 3 COPIES OF LARGE DOCUMENTS AND 1 COPY FOR <br /> R�PRODllCiION(11° X 7T' OR SMALLER)FOR ALL DOCIIMENTS SUBMlTTED. (Shaff vinll require <br /> scated drawings of afl documer�ts,plans,efic.to be subm'med.) <br /> The Ap¢I"�ant and Property Owrter must sign this appl'FCation. Please r+emember that your appC�n is not <br /> camplete if tfie abave ir�rmaUan has not beert mGuded. <br /> APPUCANTS SIGNATURE <br /> The appl'ic:ant hereby agree.s to provide all irtformativn required or requssted by the Zoning Administratar, <br /> agrees to pay additiortal fees (staffi time not covered by original fiee payment) andlor unusual expenses <br /> incurred in reviewofthis appl'�cation,and certifies thatthe informatian suppfed is true and carrect to the best <br /> af hisTher knawledge, <br /> ApPI'�anYs signature Date � �Z� Z+�i� <br /> OWNER'S S�GNATURE <br /> The owner hereby acKnowledges and agrees i�this app('ication artd further authorized reasonable entry onto <br /> the property by Giiy st�ff, consuftar�ts, age�ts. cammissi�n members, artd Council members for purpa�ses <br /> of mvestigation and ve' " n of tfiis request <br /> Oumers siqnature Date �`�zc (Z��d <br /> Applicant must have a(1 submittats mto ti�e City o 25 days before the Planning Commission Meefing_ <br /> Plahning Commission Meetings are held on the thircl Manday of each month. ApplicaMs must be preserrt <br /> at atl scheduled r+eview meetings ofi ffie Planning Commission and Courtcil_ ff an applicant is unable to <br /> atbend a scheduled meefing, ptease make arrangements bo have an authorized agent attend in your place <br /> and advise the Buikiing�Zoning Orffce of this change prior to the meeting. <br /> This is an informaSon sheet Every eBorf has been made to insure the aax�racy of the infi�nnation corriairrecf herein; <br /> however,if arry informafion is no#caonsistent with provisions of the C.�fy Code,the Code provisions will prevail. <br /> CUP and Otteer Land Use App�ons ���i����� <br /> last Updated: Nov+ember 30,2009 <br /> 9 JUN 21 2010 <br /> � <br /> � � •- . CI�Y OF ORONO <br />