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REQUIREp SUBMITTALS <br /> 1. �/ Completed Application Form. <br /> 2. Describe request in detaiL ��2�`L�� ������Y P�'�" i� �-o"-� °�l �q°��c�, <br /> 3. �� Certified Property Owners List of owners within 350' of#he 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). Syn�� <br /> 4. v 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. 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 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 all 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 provide all information required or requested by the Zoning Administrator, <br /> agrees 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 informafion supplied is true and correct to the best <br /> of his/her knowledge. <br /> Applicant's signature�-'' /�� �IC Date ��O�D�� <br /> � � <br /> OWNER'S SIG(VATU�E � <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 embers for purposes <br /> of investigation and verificafion of this request. � � <br /> � �/� � <br /> Owner s signature �_ � Date �l�'c�/�- <br /> Applicant must have all submittals into th City offices 25 days before the Planning Commission Meef'ing:� <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 rneeting, 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 /> � <br /> : �������� <br /> i ,• AUG 21 �01Z <br /> CUP and Other Land Use Applications : {'';., f <br /> Last Updated: November 19,20�0 .°' °�= " �ITY OF ORONO <br /> � 9 <br /> � � . .. <br />