11-22-2004 Council Packet - Laserfiche WebLink

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I required SUBMITTALS: T A^fjT /^PO. AS? Vjg AtXP^Y H/V6 )T All of the following Information must be submitted by the application deadline date In order for your application to be processed. p 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 612-348-6910 O Original Certificate of Survey (signed by a licensed sun/eyor), 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). O Topographic survey - including existing and proposed elevations. Provide one copy 8.5" x 11" or 11" X 17" for reproduction. □ Sketches or plans of floor and elevation views (provide one copy 8.5" x11"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 all 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 staff has no alternative but to reject it until it Is complete or to recommend the request fnr denial of request regardless of its potential merit. s// Applicant’s Signature: Applicant’s Signature: __ Hate: uate:i 7-<^ 7L OWNER’S ACKNOWLEDGEMENT: The owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants, agents, Commission & Council Members for purposes of Investigation and verification of this request. Owner’s Signature: Owner’s Signature: —c ^ ^ 0 Date: Date: Applicant must have all submhtals into the City offices 25 days before the Planning Commissior Meeting. Planning Commission Meetings are normally held on the third Monday of each^ month Applicants must be present at all scheduled review meetings of the Planning Commission anc Council. If an applicant is unable to attend a scheduled meeting, please make arrangements tc have an authorized representative attend in place of the applicant and advise the City Planne assigned to your project. /t l28-j Wfl/COOd ieo-1 Jisremss*CNCSO s3 Ail3-*i3Jd “S£:£3 >0C2-0Z-^ov