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FPI 0^14:=; M D R E I L I r 4 G R M D R !=; i. O C . P C 3 14 31 2t.9T P . O 3 <br />? .« <br />REQUIRED SUBMITTALS <br />If ir <br />All of the following information must he submined by (he application cleatlliiie date in <br />0rder for vour application to be considered complete: <br />3. <br />4. <br />Completed Application Form <br />Certified Pioperty Owners List of o\%Tiers within 150', labels and plat map (you <br />must obtain this list, labels and map from Hemrepin County’ Department of <br />Finance, A-603, Govt Center, 348-3271). <br />Certificate of Surv’ey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy S'-'i” ,x 11" for <br />reproduction. <br />Topographic sur\'ey (existing and proposed elevations) if any changes m e.xisting <br />grade ai’e proposed. In addition, provide one (1) copy 8!-';" K 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8‘/;" x It”). <br />List of the legal names (include nnirilal status) of all persons with an interest in <br />the propeity. This would include name(s) of applicant(s) if not current ovNmer(s.) <br />As an addendum to this application, please attach a separate list of any other <br />persons you wish notified of tliis application. <br />Additional items as may be requested by City' staff. <br />The Applicant and Property Owner must sign this application. Please remember that vour <br />variance application i.s no* ct.-.-nnlctc if the above informntlOli has not been included. <br />applicants signature <br />The applicant hereby agrees to provide all infonnarion required or requested by the Zoning <br />Administrator, agrees to pay additional fees (.staff time not covered by original fee pa>meni,i <br />and/or consultemt e.xpenses incurred in review of this applicaiion, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant's Signature Ci..Date <7ly_7 <br />O^^TIER*S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and furtlier authonze.s reasonable <br />entry onto tlte property by City staff, consultants, agents, Commission members, and Council <br />members for puuyioses of investigation and verification of this request. <br />Owrier's Sivtnatvuc C.. • r-/ ^ <br />a s <br />Date <br />Cowmissioo* and Council. If an applicant is unable to attend a scheduled <br />make arrangements to have an authorized agent attend in your place and to advise the .euiicing <br />& Zoning Office of this change prior to the meeting. <br />• » <br />h.- * <br />• , <br />r• •* * i <br />• ’ . -# • <br />• - • V <br />\l ^r