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Variance Application <br /> ABUTTING LAKESHORE PROPERTY OWNERS: <br /> North or West: C J A. <br /> (Name and mailing address) 1 <br /> `f <br /> South or East: r I / ; Y A )j J 1 Ft , t'Mt, s�� /r c 1 . c <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 <br /> in p Ti <br /> Page 2 of 3 MAR 112004 pi <br /> By <br />