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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the follo»r»«" must be submitted bv the application <br />4eadl<"*> order for your application to be considered cgauletes <br />1. Completed Application Form <br />2. ^ Certified Property Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />3. Plat Map (obtained with property owners list). <br />4. 7Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8%"xll" for <br />reproduction). <br />5. _ _^Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%’’xll"). <br />6. Sketches or plans of floor & elevation views (provide 1 copy 8Js"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. <br />8. _^Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />info:tion 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 coiytect the best of hxs/her Icnowledge. <br />Applicant's Signature Date <br />/ONNERS SIGNATURE <br />The owner hereby ac)cowledges and to this application and further <br />authorises 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 reouest. <br />Owner's Signature Date <br />Applicant muet have all sVfbmittals intc 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 Cosssission and Council. If an applicant is <br />unable to attend a scheduled meeting, please ma)ce arrangements to have an <br />authorized agent attend in your place and to advise the Building & Zoning <br />Office of this change prior to the meeting. <br />U v. '