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REQUIRED SUBMITTALS: <br />WHcaSon ^ submitted by the application deadline date In order for your <br />^ Pre-Applicatlon Meeting Form, completed by a City Planner <br />Completed Application Form <br />Br Completed Hardthip Documentation Form <br />□ Property Owners List - owners within 150’ of the subject property, labels and plat mao <br />List, labels and may be obtairied from Hennepin County Department of Finance <br />s Gwemn^nt Center, A-603 300 South e®’ Street, Minneapolis, telephone 612-348-6910 <br />"" Survey (signed by a licensed surveyor), meeting all the requirements <br />iis^ ^thln this packet, including hardcover calculations. Also provide one copy 8.5" x 11" or <br />/ n X 17 for reproduction. <br />Completed hardcover Miculation worksheets (as provided within the variance packet). <br />^ oM 1^)Tl7"^r^reiproduc^^ existing and proposed elevations. Provide one copy 8.5" x 11" <br />2 fiSlf^**1^*^ plans of floor and elevation views (provide one copy 8.5" x 11’ or 11" x 17") <br />□ Additional Items may be requested by City Staff depending on the scope of the project. • <br />APPLICANT'S ACKNOWLEDGEMENT: <br />7^ applicant hereby agrees to provide all information required or requested by the Plannlno <br />peparjnent agrees to pay additional fees (staff time not covered In the on-ginal toe payment <br />and certifies that the information supplied is <br />fhr ^ hisAier knowledge. The applicant recognizes that he/ehe is solely <br />215 application being aware that upon failure to do so, thearss xsiis"**" “~ <br />Applicant's Signature: <br />Applicant's Signature;Date: <br />Date: ^ 7j <br />OWNER'S ACKNOWLEDGEMENT: <br />app“«“ten and further authorizes reasonable <br />ofttMd ‘ “-“er, for <br />Date: <br />Date:2 f <br />Owner's Signature: <br />Owner's Signature: <br />P‘Q <br />'-t,.V