02-17-2004 Planning Packet - Laserfiche WebLink

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JwfU-2N4 I0:MW T-UI f 118/Bn MUI REQUIRCO SUeMlTTALS: Ail of tht fbllowiog infomitlion mutt bt tubmittad by th« ipplettion dtadiint date in order for yoia* •ppiieation to be prooetied. □□□□ □□ □□ Prt-Appneation Meeting Form, compleled by a City Planner. Completed Application Form Complelad Hardship Oocumentatkyi Form Certified Property Ownert List — owners within 150 ’ of the subject property, labels arut plat map Lift, labels and map may be obtained from Hennepin County Department of Finance Government Center. A 603 300 South e"* Street. Minneepolia. telephone 612-346-5910 Original Certificete of Survey (signed by a licensed surveyor), meeting all the requirements bsted within this pecKel. including hardcover calculaUons. Also provide one copy 6.5* x t V or irxirforreproductlon. " Completed hardcover calculation woritshetti (as provided within the variance packet) Topographic survey - Including existing and proposed elevations. Provide one copy 8.5* x 1 r or 1 r X 17* for reproduction. Sketches or ptans of Hoor and elevation views (provide one copy 8.5" x 1 r or 1 r x 17*). Additionel items may be requested by City Staff depending on the scope of the project. * APPUCANTS ACKNOWLCOOEMENT: The applicant hereby agrees to provide aS information required or requested by tfie Plwwing Oepertment agrees to pay additional fees (staff tima not covered in the original fee payment) arvl/or consuitant axpansts incurred in review of this application and certifies that the information supptlad is true and correct to lha bast of his/her knowladge. The appHcent recognizee that ha/she is aolely retponalble for aubmltlino a complett appHcatien being aware that upon fillurt to do so. the etoff has no sHsmatKre but to rsjsct it until it is compisto or to rseommend the request for denial of the rtquett regardleaa of its potential merit Applicant's Signature Applicant's SIgnatura: ^ Date: Date: OWNER'S ACKNOWtEOGBMENT: The owner hereby acknowledges and agrees to this application and further authortzes reastetable entry onto the property by City Staff, consultants, agents. Commission A. Counca Members for purposes of investigation and verification of this request Owner's Signature: L/ 0¥wner*s Signature — ^Date: Date. Applicant must have aU submittals into the City offices 25 days before the Plarmlng Commission Meeting. Planning CommiMlon Meetings are normally held on the third Monday of aaeh month Applicants must be present at alt echedultd review meetings of lha Planning Cemmisalon and Council. If an applicant Is unable to attend a schtduled meeting, please make arrangements to have an authorized representative attend in place of the applicant and advise the City Planner assigned to your project J i O. o 7T ^