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REQUIRE D SUBMITT ALS <br />All of the following. information must be sub.mH1ed bv the application deadline d te in <br />ord er for your application to .be considered �omptete: <br />1. <br />2. <br />3. <br />4. <br />s. <br />6. <br />7. <br />8. <br />- <br />Completed Application Form <br />Certified Property Owners List of 0\vners \vi thin 150', labels and plat map (you <br />must obtain this list, labels and map from Hennepin County Department of <br />Financ e, A-603, Govt Center, 348-5910 ). <br />Certificate of Survey (signed by a li censed surveyor) and include hardcover <br />calc ulations as requir d. In ad dition, pro\ide one (1) copy 8½" x 11" for <br />repr duction. <br />Topographic survey (exi�ting and proposed ele ations) if any changes in existing <br />grade are proposed. L1 addition, provide one (1) opy 8½" x 11" for reproduction. <br />Sketches or pla:1�� or floor & elevation vtews (pro 1ide one (1) copy 8½" x 11 °). <br />List of the legai names (include marital status) of all persons with an interest in <br />the prop�rty. This would include nam (s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any oth r <br />persons you wish noti ed of this applicaf on. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this appli cation. Please remember that your <br />variance application is n2t._com,plete if the abov formation has not been included. <br />APPLIC T'S SIGNATURE <br />·The applicant hereby agrees to provide all informatio� required or reque ted by the Zoning <br />Administrator, a ees to pay additional fe es (staff time not covered by original fee payment) <br />and/or o ultant e penses incurred in revie\v of this ap9licatio , and certifi�s that the <br />information suppli ed is true and correct to the best of his/her kno ledge. <br />Applicant's Signatur '3.t-L. LD LuaCG:su Date /1.1.{:f 23 1 2000 <br />0� 1 R'S SIG TURE <br />To o �er her· by acknowledges and agre to this application and further authorizes reasonaol <br />entry onto the pronerty by City staff, cons ltants, agents, Commissior. members, and Council <br />memb rs for urpos es ot investigation and venfica ion of this request. <br />Owner's Slgn atur ,t� lu • ldlif( Date Ql'u 2.3; 2000 <br />Applicant must hav -a subm.ittals into th City o · ces 25 days before the Planning <br />Com.miss· on Meeting. Planning Commissi _ n Meetings ar held on the third Monday of each <br />mon · . Applicant. ust be present at all scheduled re i ,v meetings of the Planning <br />Com • · sion a d Co. ncil. If an applicant is ble a end a scheduled eeting, please <br />make a.rrangemen to ve an authonzed agent att d in your lace and to advise Bu;ldino <br />& Zoning Offic of this change prior to the eetiJ.1°. <br />7