Laserfiche WebLink
; V « . .1. . » <br />REQUIRED SUBMITTALS: <br />apUcation to°b« ^ submitted by the application deadline date In order for your <br />^ Pre-Application Meeting Form, completed by a City Planner. <br />a Completed Application Form <br />□ Completed Hardship Documentation Form N / A* <br />^Certified Pfopeity Owners List - owners within 150' of the subject property, labeis and plat mao. <br />Ust, labels and map may be obtairied from Hennepin County Department of Finance <br />Government Center. A-603 300 South 6*^ Street Minneapolis, telephone 612-348-5910 <br />^ (®'9ned by a licensed surveyor), meeting all the requirements <br />listed ^thin this packet, including hardcover calculations. Also provide one copy 8 5* x ir or <br />17"forreproducton. <br />Completed hardcover calculation worksheets (as provided within the variance packet). <br />° oMI’^ITMor^r^roducti and proposed elevations. Provide one copy 8.5* x 11* <br />Ske^es or plans of floor and elevation views (provide one copy 8.5*x11*orirx17"^ <br />□ Additional items may be requested by City Staff depending on the scope of the project. • <br />APPLICANT’S ACKNOWLEDGEMENT: <br />® * ®®niplete application being aware that upon failure to do so the <br />Applicant's Signature:—x n . n. rxO <br />Applicant's Signature: ^ ^----------------- <br />OWNER’S ACKNOWLEDGEMENT: <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the Property by City Staff, consultants, agents. Commission & Council Members for purposes of investTgatiot^nd verification of this request v^ouncii lYiemoers Tor <br />Owner’s Signature: <br />s: "Tizzm <br />Owner’s Signature: ^ \ <br />Owner's Signature: /j Date: <br />Date: <br />g-vi-o^ <br />\ << -OF <br />SM?gnedtoTorproiea'*“"‘"''''® Planner <br />#29^-'■<<1