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'•■ <br />v"' <br />0 <br />(attach additional sheets if necessary) <br />^Pfonnatiop nmat be^submitted by the applicati^qn <br />deadline date in order for your application to^ conside^ <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 />Certificate of survey (signed by a licensed surveyor) <br />hardcover calculations as required (provide one <br />reproduction). <br />(1) copy 8%''xll" for <br />^ Topographic survey (existing and proposed elevations) if any changes <br />^ ___ _ _- nne CODV 8Jl"xll"). <br />As an addendum to this application, please attach a separate list or <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 above <br />information has not been inc? uded. <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 (start <br />tim» 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 Date <br />ONNEPS SIGNATURE j « 4-k <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 />Owner ' s Signature Date h <br />J. <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held °h _ _jfc'ianning - -- - - -^ - - - - - - <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.r,%.‘%r’r:Snr <br />Office of this change prior to the meeting. <br />4 <br />i <br />A 1 ^ ^ ft t -trt-m ftl ft m^a . , A