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*• <br />(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of follo%H.nq information must be submitted by the application <br />deadline date in order for yoor application t:o be considered ccmplete; <br />ompleted Application Form <br />/ii\^^rtlfied Property Owners List of owners within 150' (you must obtain <br />C.l_^hi <br />s ■-" <br />his list from Hennepin County Department of Finance A-603 Govt Center <br />48-3271). <br />lat Map (obtained with property owners list). <br />jertificate of survey (signed by a licensed surveyor) to include <br />rdcover calculations as required (provide one (1) copy 8%’'xll" for <br />reproduction ). <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8V"xll") <br />6. \X^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 of <br />any other persons you wish notified of this application. jffll <br />8. __^Addi*-ional items as may be requested by City staff. ®i <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />Information has not been Included. <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 (staff <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 correct to the best of his/her knowledge. <br />D O I <br />Applicant's Signature _ _ _ _ _ _ __ _ _ _ _ _ _ _ Date C* 6 - f'a- <br />OWNERS SIGNATURE <br />The owner hereby ackowledges and agrees to this application and further <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 of this request. <br />X <br />%■ Owner's Signature Date - 3- <br />Applicant must have all siabmlttals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission 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 fi Zoning <br />Office of this change prior to the meeting. <br />'4 <br />■t <br />:• -A- t ’*/• T-'v N ..(•