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07/20/1939 10:02 <br />10’d TdlOi <br />6125468756 FOX COMMUNICATIONS PAGE 03 <br />BEQVl SUBMITTALS <br />All of the foMowipy information mmt be lubmingd hr the aopUcatlon deadline d»te to <br />crdgr for your ronild*re<l eompltltt <br />1. <br />2. <br />^ 3. <br />X <br />8V4* X ir for <br />5. <br />6. <br />.7. <br />8. <br />Completed /^plication Fom: <br />Certified Property Owners List of owners within 150', labels an|! ^ ibap (you <br />must obtain this list, libels and map from Hennepin Coum)( <br />Fmance, A-603, Govt Center. >48 aBM). 3 •/ S-S' y/<3 <br />Certificate of Survey (signed by a licensed surveyor) and <br />calculations as ratjuirad. In ad<Stioo, pro^dde one (1) copy <br />reproduction. <br />Topographic survey (existing proposed elevattoos) if any ch^gaa in a Hilling <br />grade are proposed. In addrtcc. provide one (1) copy 8Vi* x 11* for reproduction. <br />Sketches or plans of floor L elevation \news ^ovide one (1) cjpy 8V4* x 11"). <br />List of the legal names (include marital status) of all perrons w th an intcr^ in <br />the property. This would include namc(s) of applicant(8) if not turrent owner(s). <br />Aa an addendum to this applicafion, please anach a separate |st of any other <br />persons you wish notified cf this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please renjember that tout <br />variance application it not complete if the above information has not bqen <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requestrd by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by origi nal fee payment) <br />and/or consultant expenses incurred t review of this application, and certifies tlMt the <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant's Signature <br />OWNER'S SIGNATURE <br />13 a <br />The owner hereby acloiovvledges and agrees to thlx application and further autlsorizes reasonable <br />entry onto the property by City stafi( consultasls, agents, Comraisaion members, and Councilentry onto the property by City ftaflC <br />members for purposes of investigation aid verification of this request. <br />/? . <br />—i ________ Date '/fOwner's Signature <br />Applicant must have all submittals icto the City ofiElcai 25 days befere the Planning <br />'111. <br />Monday of each <br />f the Planning <br />Commission Meeting. Planning Commission Meetings are held on the third <br />month. Applicants must be present at aD scheduled review meetings <br />Commission and Council If an applicant is unable to attend a scheduled meeting, please <br />make airangemects to have an authorized agent attend in your place and to a^ vise the Bidding <br />& Zoning Office of this change prior to the meeting <br />t0d eS22COi2l9 9c :Sl 666t-6l--r»f