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. ....� �, � .....�..+ N.v <br /> �1i/�3/2�6 15:21 CDIMR FERLTY �Ji�YZRTA952 �175 24l1 -� 47�7129 NQ.D�6 DC�kl1 <br /> ; � V.l�'LU/'LUUff lU:Ub 31A,b, bZ:�' 7Q6 55flE BF.NE5YS1` C�]DOZ <br /> �Z�' � L'�S� Q ��G ��. �. G . . <br /> R�4UlREp �UBMTI"f'ALS: <br /> AI! af the toUawing informahon.must be su�mftted by the applicatio�► dead(inE► date in order f�r yo�r <br /> app(ica�ian to be processed. - <br /> •, � �re-Appiica�inn N��eting Fo�m, compl�t�d 1�y a City Planner, <br /> CQmpleted Application Form <br /> �' Compl�ked Hard9hip Documenta�i4n Form <br /> �F Certified PrQpe1'Ly Ow�ers list—rnnrners within 150' of the subjec�property, labels a,nd p�at map. <br /> List, labels and map may be obtainecl from Hennepin Gaur�t� Df.pa�nent or' �inanr�, <br /> Gov�f�ment Cenfer, A-603 3Cf0 Sout�� G�h atre�t, Minneapolis, telephone 6'12-34$•5910 <br /> . J�f �rigina! Ce�#ificate of 5urvey (slg�eti by a lir,�nsed sUrveyor), meeting a!I thE r�quirements <br /> f list�d wlthir� this packet, it�tctudiny harcicover caiculations, Also provid� orte copy 8,5` x 11" or <br /> I 11"x 17" for reproduation. <br /> �( CompJeted hardcover cafcu(a�an wo�kshe�fs (as provided wifhln tha var,ance packet). <br /> � Toppg�ephic survey— Inaluding exfsting ar�d propased elevafions, Pravlde one copy 8,6" x '11" <br /> Qr 11"x '1 f"far repraduclion. <br /> � SkatGhes o�plat�5 vf fia�r and elevation vfews (provide one copy 8.5"x 't'1" ar'!1"x'f 7"). <br /> ! O Addiiianal items may be raquested by C€ty StafFdapending on thascape flf the p�nJect.�" <br /> �0.PPLLCANT'5 AGKNOWLCDG�MEWT. <br /> � The applicant hareay agtees fo provide a�J �nfarrnation requir�d .or requ�;sted by the Plannlrtg <br /> Departrrtent, agrees �to pay addition�f fees (skatF time not c�Yered in the ariginat fee �aytr�ntJ a�dlor <br /> f cqnsultar�t expen�es incurred 9n raview ot ehis a�pticatian and cert[fieS t�tat th,�inforrrtafion suppiiec! is <br /> � true and corr�ct to fhe be�t uf his/her knowledge, Th� applipnt rec4gr�izes� thal hel�hB Ja sole9y <br /> raspansibl���nr submittivg a corrzpiet� appii�a�ion betng aware that Upa�n failure #o do so, the � <br /> i stat� t��s nQ alF�ttaativa �u� to reje�ct lt un�i� ft is complete oa' to raGom'm�nc# the ��uest f�r <br /> d�nial Qf the requ�st regardless of Its poten �al merit. <br /> � - Applicank's �ignalure; �.c � <br /> Date; ^�- � � 200�'" <br /> � apPlicant's Signalur�; � Date: • <br /> �j QWNER'SAGKlVOWLEpGEI�NT; � <br /> i '�e awner h�reby acknowlec#ges and agrees t� this application and further au�Ytorizes rea�ona�,f� <br /> E entry onta tf�te proparty by City Staff, consultants, agents, Cvrnmission 8� CouRci[ Memb�rs far <br /> � � purposes Qf inv��tiga�on verifir,a�or�ofthis reque t, • . <br /> Own��s SignatuE�a: �7ate: l -- � � —� O,� <br /> Ownet's 5ignature: �a,��_ <br /> ,I . Applicar�t must have aii submittals inta the Cit affce� 2� d� s b� p •^ - <br /> Y y efnre thr Ptannirrg Lamm(ssion <br /> iArleating. Plannin� Cvmmission M�etings �re rrormally F�efd on the fhird Manday of each mQnth. <br /> �� AppEicants must be prQsent at a11 scF�eduled reviavy m�eetings of the planr�ing Cgmra�issaon anc# <br /> CQun�cii, if en applicant is unable to att�nd a schedu�ed meeting,� please rnake arrangement� tQ <br /> I have an authorued r�presentative att�nd in �lace o-F the �pplipant and advi9e the City Pl�nner <br /> a5signed to your projec� <br /> I . <br /> i ' <br />