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REQUIRED SUBMITTALS <br />% ^ <br />/-ey>yu 6^cCtci <br />‘ A(j,Oo ^O ^V, <br />\A <br />3. <br />All of the fnllnwina informaHon must be submitted.bv_the application deadline date_in <br />order for vour applicarion to be considered coinplctc.*. <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, 348-3271). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy SYi" 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 S'/j" x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy SVi" 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 />4. <br />5. <br />6. <br />7. <br />8. <br />The Applicant and Property Owner must sign this application. Please remember that yfiui <br />varinnce anpUmtinn is if the above information, has not been included, <br />APPLICANT'S SIGNATURE . v • <br />The applicant hereby agrees to provide all information required or requested by the Zomng <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or consultant^pfiHies incurred/) in review of this application, and certifies that the <br />information suJ^nJd is^e and corrbfct to the best of his/her knowledge. <br />Applicant's Signature JLA^'Or^Date <br />TfviT> c. <br />iP cy.x <br />' i '4 <br />L <br />I agrees to this application and further authorizes reasonable <br />5) consultants, agents. Commission members, and Council <br />ion and verificatu^n of this request. <br />Date <br />is into the City offices 25 days before the Planning <br />ovt'.N. -I —jnmission Meetings are held on the third Monday of each <br />(j ’ ' Ivilent at all scheduled review meetings of the Planning <br />ipplicant is unable to attend a scheduled meeting, please <br />rized agent attend in your place and to advise the Building <br />)r to the meeting. <br />I <br />JC' <br />n. ^ <br />i W <br />«’ w <br />8