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(attach additional sheets if necessary) <br />inforwation must be submitted by the application <br />ao.aune Hate la order for your application to be considered_c^letet <br />\ thlV uVt from Hennepin County Department of Finance A-603 Govt Center <br />^'348-3271). <br />Completed Application Form <br />■certified Property Owners List of owners within 150- (you must obtain <br />1T0O1T odl 11 dm on) • • % ^ ^ <br />5. Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy <br />6. Sketches or plans of floor & elevation views (provide 1 copy 8% xll ). <br />7. -As an addendum to this application, please attach a separate list o£ <br />any other persons you wish notified of this application. <br />Additional items as may be requested by City staff, <br />The Applicant and Property Owner must sign this application. Please <br />remember that vour variance application is not complete if the abo^ <br />•in’Pomation has not been included. <br />.R.V' <br />APPLICANT•S SIGNATURE . <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (star <br />time not covered by original fee payment) and/or consultant expenses <br />incurred in review of this application, and certifies that the information <br />supplied is true and correc^ to t^ his/her knowledge. <br />Date /ffi^Applicant's Signature <br />OWNERS SIGNATURE . ^ ^ jt 4-v, v The owner hereby ackowledges and agrees to this application and furtner <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents. Commission members, and Council members for purposes of investiga­ <br />tion and verification qiS-j^his ^j^equest. <br />Owner's Signature c. ^ f- - - Date ^5 lllkL <br />Applicant must have all submittals into the City offices 25 <3ays before the <br />Planning Commission Meeting. Planning Commission Meetings are held ^ <br />third Monday of each month.* Applicants mast be present at all scbedu^iea <br />review meetings of the Planning Cooinission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and to advise the Building S Zoning <br />Office of this change prior to the meeting. <br />V - • <br />■i