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r* <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted bv the anniication deadline date it. <br />order for vour aPDlication to be conaidgred comolete: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />Certified Property Owners List of owners within 150’, labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Finance, A-603, Govt Center, 348-5910). <br />CertiGcate of Survey(signed by a ’i'teitsed surveyor) and include hardcover <br />calculations as requir^. In addition, provide one (1) copy 8 1/2" x 11" for <br />reproduction. <br />Topographic survey (existing and proposed elevations) if any changes in existing <br />grade are proposed. In addition, provide one (1) copy 8 1/2" x 11" for re production. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8 1/2" x 11"). <br />List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include name(.s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be request^ by Ci^ staff. <br />The Applicant and Property Owner must sign this application. Please remember that vour <br />variance application is not complete if the above information has not been included. <br />APPLICANT’S SIGNATIHE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or consultant expenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant’s Signature <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entiy onto the property by City staff, consultants, agents, Commission members, and Council <br />members for purposes^ofinvestigation and wrification of this request. <br />^^^wnei's Signature Date "3—y cL 5 <br />Applicant must have all submittals into the City offices 25 days before the Planning <br />Commission Meeting. Planning Commission Meetings are held on the third Monday of each <br />month. Applicants must be present at all scheduled review meetings of the Planning <br />Commission and Council. If an applicant is unable to attend a scheduled meeting, please <br />make arrangements to have an authorized agent attend in your place and to advise the Building <br />& Zoning Office of this change prior to the meeting. <br />2. Ed A Q^rda Toth • Varianca AppNcation <br />J V . * •* 4 f ^ ^ Jri <br />] j