04-26-2004 Council Packet - Laserfiche WebLink

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r t \ # L * « *»•I irf* • • REQUIRED SUBMITTALS: All of the following Information must be submitted by the application deadline date in order for your application to be processed. □□□□ □□ □□ Pre-Application Meeting Form, completed by a City Planner. Completed Application Form Completed Hardship Documentation Form Certified Property Owners List - owners within 150 ’ of the subject property, labels and plat map. List, labels and map may be obtained from Hennepin County Department of Finance Government Center, A-603 300 South 6*'’ Street, Minneapolis, telephone 612-348-5910 Original Certificate of Survey (signed by a licensed surveyor), meeting all the requirements listed within this packet, including hardcover calculations. Also provide one copy 8 5" x 11" or 11" X 17" for reproduction. Completed hardcover calculation worksheets (as provided within the variance packet). Topographic survey - including existing and proposed elevations. Provide one coov 8 5" x 11" or 1 r X 17" for reproduction. Sketches or plans of floor and elevation views (provide one copy 8.5" x 11"or11"x 17") Additional items may be requested by City Staff depending on the scope of the project. * APPLICANT ’S ACKNOWLEDGEMENT: The applicant hereby agrees to provide alt information required or requested by the Planning Department, agrees to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses Incurred In review of this application and certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that he/she is solely responsible for submitting a complete application being aware that upon failure to do so the Lnlal M to poSal 'o’ Applicant's Signature: Applicant's Signature: o Date: Date: OWNER'S ACKNOWLEDGEMENT: Date: 2lll^ Date: r . . /•’ •/ V\ ' t V • \ \ • ^ i •.* 'i t '• -y