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' t ( *7 V7^ // . <br />/ -y/ - ?/t M. <br />&(attach additional sheets if necessary) <br />All of the following infomation must be siabni tted by—the ap plicati on <br />in order for yoar application to be considered CvJH|;>letes <br />1. X Completed Application Form ^ w*. • <br />2. y 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. X Plat Map (obtained with property owners list). <br />4. X Certificate 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. VA Topographic survey (existing and proposed elevations) if any chang <br />in existing grade are proposed (provide one copy 8>s"xll''). <br />6. X Slcetches or olans of floor & elevation views (provide 1 copy 8*j xll ). <br />irjJAfiS 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 vour variance application is not complete if 'the <br />h«a not been included. <br />APPLICIUrr'S SI6HATURE <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 Icnowledge. <br />Applicant's Signature (/<iHkH^^Date 7-, <br />OmZRS SIGHATURE , . ^ <br />The owner hereby aclcowledges and agrees to this application and rurtner <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 />liU A ■ D.t.Owner's Signature___ <br />Applicant must have all submittals into the City offices 25 <br />Planning Commission Meeting. Planning Commission Meetings are he <br />third Monday of each month. Applicants must be present at all ecnedu^l^ <br />review meetings of the Planning CoBission aind Council. If an applicant is <br />unable to attend a scheduled meeting, please maJce arrangements to have an <br />authorized agent attend in your place and to advise the Building fi Zon g <br />Office of this change prior to the meeting.