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� � <br /> � Variance Application <br /> ABUTTING LAKESHORE PROPERTY OWNERS: <br /> North or West: Scott Leiferman, 1525 Bay Ridge Road, Orono, MN 55391 <br /> (Name and mailing address) <br /> SOuth OI' EaSt: Thomas H.Alt Sr., 2054 Shoreline Drive, Wayzata, MN 55391 <br /> (Name and mailing address) <br /> Other affected parties (attach sheet if necessary): <br /> 1011723340014 <br /> (Name and mailing address) <br /> Please submit names and mailing addresses of owners within a 350-foot radius of the <br /> property. Such owners must be verified by checking with the Hennepin County Auditors Office, <br /> (612) 348-5910 (or a private abstract company) which can provide actual mailing labels at a <br /> cost of$1.25 per tax parcel (minimum of$25.00). This service usually takes two days, and <br /> you must have your tax parcel identification number (PIN) ready when calling for this <br /> assistance. <br /> Documents listed below are required; check that they are attached: <br /> ❑ Locator Map (U.S.G.S area map with scale, North direction, Site clearly marked, Name <br /> or Title, LMCD Area Name, LMCD number) <br /> ❑ County Plat Map (Site clearly marked, Name, LMCD area name, LMCD number) <br /> ❑ Certified Land Survey (Legal description, Name, LMCD area name, LMCD number, <br /> 929.4 N.G.V.D. shoreline) <br /> ❑ Proposed facility site plan (to scale, 929.4' N.G.V.D. shoreline, LMCD area name, <br /> LMCD number, Scale, North direction, affected neighbors, locate setback area, locate <br /> dock use area, location of dock structure with dimensions and slip numbers, indicate <br /> type of slip if applicable) <br /> ❑ Existing facility site plan, if applicable (to scale, 929.4' N.G.V.D. shoreline, LMCD <br /> area name, LMCD number, Scale, North direction, affected neighbors, locate setback <br /> area, locate dock use area, location of dock structure with dimensions and slip <br /> numbers, indicate type of slip if applicable) <br /> ❑ Scaled drawing of docks on abutting properties and other affected dockage <br /> Absence of significant data requested above cou/d result in a processing delay. <br /> FEE CALCULATION <br /> APPLICATION FEE..............(non-refundable).........................................$250.00 <br /> DEPOSIT............................. (refundable, upon full compliance <br /> with the Code and extent of <br /> administrative, inspection and <br /> legal service required).................................+$250.00 <br /> i' . ._:'� ��`:'.�I��': <br /> Page 2 of 3 ��,�� _ � �� _' %.I;�!� ��� <br /> , �.• <br />