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■y** '. • - <br />□□□□ <br />REQUIRED SUBMITTALS: <br />application to'be submitted by the application deadline date In order for your <br />Pre-Application Meeting Form, completed by a City Planner <br />Completed Application Form <br />Completed Hardship Documentation Form <br />Certified Property Owners List - owners within 150* of the subject property. labels and plat map. <br />List, labels and map may be obtairi^ from Hennepin County Department of Finance <br />Government Center, A-603 300 South 6 “’ Street. Minneapolis, telephone 612-348-5910 <br />® licensed surveyor), meeting all the requirements <br />11^*^x 17Mor reproducer hardcover calculations. Also provide one copy 8.5“ x 11* or <br />Completed hardcover i^lculation worksheets (as provided within the variance packet). <br />oM1^^17M«3T^repr^^^ proposed elevations. Provide one copy 8.5" x 11" <br />Sketches or 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 />APPLICANTS ACKNOWLEDGEMENT: <br />application being aware that upon failure to do so. the <br />ro?tSo poSmerir'*'*'" •“ '•“"""o"'' <br />□□ <br />□□ <br />Date: <br />Date;3-/6.-^ A/ <br />Arjllcant's Signature: <br />Applicant's Signature: ~7Ug>i/v:» ^ rV <br />OWNER S ACKNOWLEDGEMENT: ^ <br />application and further authohzes reasonable <br />entry onto fte property by City Staff, consultants, agents, Commission & Council Members for <br />purposes of Investigation and verificabon of this request. iviemoers ror <br />Owner's Signature; <br />Owner's Signature; <br />------------- <br />■ap:' <br />Ss^gnl'toTorp'rojeT ”" applioant^nd advise the crPlanner <br />Date: <br />Date: <br />7-U-6H- <br />sj