04-25-2005 Council Packet - Laserfiche WebLink

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following Information must be submitted by the application deadline date in order for your application to be processed. CT Pre-Application Meeting Form, completed by a City Planner. BT Completed Application Form eT Completed Hardship Documentation Form _ . u , .j i * □ Certified Property Owners List - owners within 150’ of the subject property, labels and plat map. List labels and map may be obtained from Hennepin County Department of Finance, Government Center, A-603 300 South 6“* Street, Minneapolis, telet^hone 612-348-5910 □ Original Certificate of Survey (signed by a licensed surveyor), meeting all the requirements listed within this packet, including hardcover calculations. Also provide one copy 8.5" x 11" or 11" X17" for reproduction. □ Completed hardcover calculation worksheets (as provided within the variance packet). Topographic survey -• including existing and proposed elevations. Provide one copy 8.5 x 11 ^ or 11" x 17" for reproduction. « » « « □ Sketches or plans of floor and elevation views (provide one copy 8.5" x 11" or 11" x 17 ). □ Additional items may be requested by City Staff depending on the scope of the project. * APPLICANT’S ACKNOWLEDGEMENT; u m The applicant hereby agrees to provide all information required or requested by the Planning Department, agrees to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses incurred in review of this application and certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that he/she is solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete or to recommend the request for denial of the request regai Applicant's Signature: Applicant’s Signature: igan^s of its potential merit 'avifmisB.mi Date: f a v~ Uri(_ ^ oy\A — D3t6^ f OWNER’S ACKNOWLEDGEMEN-h . w. The owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants, agents, Commission & Council Members for purposes of investigatioirand verification of this request. Owner's Signature; Owner’s Signature: jatiQfrbnd verification of this Date: J Date: /// to ;rrb\ Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are normally held on the third Monday of each month. Appiicsfits must b® prasont 8t 8ll pchodulod roviow iriMtinp® of tho PlHnning Coimulssion snd Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized representative attend In place of the applicant and advise the City Planner assigned to your project. vi.1( ■a, n 'Cv./ji kJ 'Zj III