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• • <br />REQUIRED SUB\nTTALS <br />AH of the following information must be submitted bv the applicarion deadling dat* in <br />order for your application to be coinidertd complgtg; <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 />__ Certificate of Survey (signed by a licensed sur\eyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy S'/i" x 11" for <br />reproduction. <br />Topographic survey (e.xisting and proposed elevations) if any changes in existing <br />grade are proposed. In addition, provide one (1) copy 8'/i" x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy S'/i" 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 requested by City staff. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />£ <br />I/" <br />J/ <br />The Applicant and Propert>- Ovs-ner must sign this application. Please remember that your <br />variance application is not complete if the above information ha.< not been Included. <br />APPLICANT’S SIGNATURE <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 incuned 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 ^Date /O/Xn/dt <br />OWNER’S SIGNATURE <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 members, and Council <br />members for purposes of investigation and verification of this request. <br />Owner's Signature Date /dhi /i <br />Applicant must have all submittals into the City offices 25 days before the Planning <br />Commission Meeting. Plaiming 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 />7 .-7 % <br />i.» .• ♦ <br />..V »••••. <br />: • <br />o' <br />I • <br />% % , <br />O <br />Y