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Variance Application
<br /> ABUTTING LAKESHORE PROPERTY OWNERS: / —
<br /> North or West: r ,` F .��, r A/6/ /f; c' I c:
<br /> (Name and mailing address) ,s
<br /> South or East: , : ; ' / ,� .� €� ,�� i �f t` �� f�`� ,��/f-,fz,j. ; lr / ' «<
<br /> (Name and mailing address)
<br /> Other affected parties (attach sheet if necessary):
<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,
<br /> Name 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
<br /> number, 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,
<br /> locate dock use area, location of dock structure with dimensions and slip numbers,
<br /> indicate 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
<br /> setback area, locate dock use area, location of dock structure with dimensions and
<br /> slip 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 could 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
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<br /> LE !Ill
<br /> Page 2 of 3 I MAR 1 1 2004 Llij
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