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. p.3 <br /> 12/10/2810 12:38 95292d0269 CHOICE 4JOOD COMPAI�N rH� G�.°� <br /> � <br /> RE�IUIR D SUBMiTTAI..S • <br /> �, Completed Applicatian F�rm. <br /> Z. pescribe reGuest in detail. <br /> 3, Certified Properry Owners List af rnvncrs within 350' vf the subject propetty, labels and piat <br /> map. List, label5 and map may be obtained ftom Hennepin Gounty Oepartment of Fiaance, <br /> �,/ Government Ce�ter,A-603 3Da 5outh 6"'�Sireet.Minneapolis,te{ephone 612-348-5g1�). . <br /> 4, c�C� Certificate of Sunrey(signed by 2 licensed surveyorj-refer to handvut for survey infortnation. <br /> � 5, Altach legat description to application ff not included on required survey. <br /> g, � Tapographic survey (existing and proposed contours) if land alteratians involve changes in ,. <br /> et�wation(grades). <br /> 7, �_ Lis;of the fegal names(include mamal status)of all persons with an intereSt fn lhe propertY, <br /> This would inolude name(s}of appficarrt(s)i�not curreni owner(s). <br /> 8_ Construction plan,if applicable(see staff for requirements), <br /> g, � As an adder,dum to this applic�tion,ptease attach a separate list of any other persons you wish <br /> notified of this appNca�on. , <br /> YQU ARE REQUIR�D i'�SUPPLY 3 COPIES OF LARC3E DOCUMENTS AND 7 COPY FOR <br /> REPRODtl�T10N(11"X 9T`OR SMALLER)FOR ALL DOCUWIEN�S SUBM!'FTED. (Staff wtll require <br /> scaled drawings of all flocurnents,plans,etc.to be submitted.) <br /> The Applicar�t and Properfy Owner must sign ti�is application. Please femembe�th81 your application is no*. <br /> complete i(the above information has not been includ£d. <br /> APPLICANTS SIGNATl1RE <br /> The appficarrt ttereby agrees;o prav�de al(ir�farmation required or'requosted by ths Zoning Administrator, <br /> agrees to pay additional fees (staff fime not covered by a�iginal fee payment) andlor unusual expenses <br /> incurred in reti�+vf this application,and certifies that the infortnation supplied is true and oorrect to the best <br /> of hisrher knowledge. ' <br /> Applicant's signature �� ��� +� �� <br /> OWNER'S SIGNATURE <br /> The owner hereby ackrtowledgesand agrees to this applicatio�ancl further authorized reasonabte entryonfo��: <br /> the¢rapeity by Gty staff, ctmsuttants,agents, commission m�mbvrs.ancf Council members for purposes <br /> of investigation and verfica#ion of this reque5�. <br /> • owner's signatu Date 1 L a �c�Q <br /> Applicant must have al!submittals into the City offices ZS days before the Planning Commissifln Mee6ng. <br /> Plannin9 �mmission Meetings arg held on the third Monday of e8ch rnor:th. Applicants must he present <br /> at al{ schedukad review meetings of:he F�anning Commission and Counal. If an appficant is unable So <br /> atfend a scheduted meeting, Qfeas2�'Iake arl'dngCmentS to have an�uthorized agent attend in your place <br /> and advise She Buildf�g&zoning OffCe of lhis change�rior to the meeting. <br /> 7his is an infi�rmation sheet.Every elfort has been mede fo insure the accuracy of ifia information contained hereln; <br /> hOwev9r,it any irtfnm�sRon is nat Conslsfent with prvvis►on,of�he City Code,the Code provisions wi!!prevall. <br /> CUP�nd Other tznd Use AppYw�tion6 . <br /> Last Updated: Navembor 30.2009 <br /> 9 �y r`, <br /> �ii���0 V�D <br /> � DEC 14 2010 <br /> � crnr oF oRONo <br />