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REQUIRED SUBMITTALS: <br />"pLton to‘Tj7ro«" i" <br />^ Pre-Application Meeting Form, completed by a City Pianner. <br />Completed Application Form <br />^ Completed Hardship Documentation Form <br />‘^50’ of the subject property, labels and plat mao <br />Ust. labels and map may be obtained from Hennepin County Department of Financa <br />t 300 South 6* Street. Minneapolis, telephone 612-348-5910 <br />^ I?sted M ® licensed surveyor), meeting all the requirements <br />1 r X l^for reproducSon ^^ardcover calculations. Also provide one copy 8.5- x 1 r or <br />□ Completed hardcover ralculallon worksheets (as provided within the variance packet) <br />///^ Top^raphic sufve^^ existing and proposed elevations. Provide one copy 8.5- x 11" <br />^ ^ elevaton views (provide one copy 8.5 ’ x 11" or 1 r x 171 <br />□ Additional items may be requested by City Staff depending on the scope of the project. • <br />APPLICANT’S ACKNOWLEDGEMENT; <br />The applicant hereby agrees to provide all information required or requested bv the Plannino <br />Department, agrees to pay additional fees (staff time not covered in the ordinal fee pavimenh a^^^^^^^ <br />application and certifies that the informatSn supplied is <br />true and correct to ^e best of his/her knowledge. The applicant recognizes that ha/she is finiaiv <br />responsible for submittino a complete application being aware that uoon faiiur* «n Ha <br />Applicant’s Signature: <br />Applicant's Signature; _pate: <br />Date <br />OWNER'S ACKNOWLEDGEMENT: <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />Sl5;.roM,rn * “=^Se".Tr <br />Owner's Signature: <br />Owner's Signature: <br />tB Date: <br />Date: <br />«sTgn‘j;foTuf^2ie1?™""'’''" applicaVand advt“ rSrP.Snne'? <br />H J V' <br />! <br />* •• " <br />/ <br />I. ;rv