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� <br /> REQUIRED SUBMITTALS <br /> 1. Completed Application Form. <br /> 2. Describe request in detail. <br /> 3. Certified Property Owners List of owners within 3�0', labels and plat map (you <br /> must obtain this list, labels and map from Hennepin County Department of Finance, <br /> A-603, Government Center, 348-3271). <br /> 4. Certificate of Survey (signed by a licensed surveyor) - refer to handout for survey <br /> information. <br /> 5. ..Attach legal,d�scription`to applicati�n if not i�cl�dad on rec��ired survey. <br /> 6. Topographic� survey (existing'�arid propo�s�d'contours) if land alterations involve <br /> • cl�ang�s in elevation (gxades). , .. � �"` <br /> 7. List�of�the legal`names (include marital status) of all persons with an interest in the <br /> • • , ... pxoper,ty.. This would include name(s) of ap,pl�a�t(s�} if not currerit owner(s). <br /> 8. ::;,. : ,. Coii,struction plan, if applicable,(see,staff for.reguir�tents). , - • - <br /> .� ..,, <br /> 9. � " ' '�As an addendum to this applica�ion, `pY'�ase:�ta�li, a.Se�arate`,�i�t�'ii�f any other <br /> �—`persons you wish�notified of this applicatiorl�: '��-'�''~ ' � ' � <br /> YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR COPY <br /> FOR REPRODUCTION (11" X 17" OR SMALLER) FOR ALL DOCUMENTS <br /> SUBMITTED. (Staff will require to scale drawings of all documents, plans, ete. to be <br /> submitted.) <br /> :x ;, <br /> The Applicant and Property Owner must sign this application. Please remember that your <br /> . application is not complete if the above information has not been included. <br /> Certification by Clerical Depar me t t at Land Use Application is omplete. <br /> Inirials of Clerical Staff: Date P L �ti 1 <br /> APPLICANT'S SIGNATURE ��-'E-'�'S �� �, <br /> The applicant hereby agrees to provide all information required or requested by the Zoning <br /> Administrator, agrees to pay additional fees (staff time not co��ered b�• original fee payment) <br /> and/or unusual expenses incurred in review of this application, and certifies that the information <br /> supplied is true and corr ct to e b of his/h knowledge. <br /> Applicant's signature Date �b <br /> i <br /> OWNER'S SIGNATi7RE . . <br /> The owner hereby acicnowledges and agrees to this application and further authorized reasonable <br /> entry onto the property by City staff, consultants, agents, commission members, and Council <br /> members for purposes of investigation and verification of this request. <br /> Owner's signature Date <br /> Applicant must have all submittals into the City offices 25 days before the Plannin� Commission Meeting. <br /> Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all <br /> scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a <br /> scheduled meeting, please make arrangements to have an authorized agent attend in your place arid advise the <br /> Building & Zoning Office of this change prior to the meeting. <br /> 6 <br />