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r <br />VARIANCE APPLICATION FORM <br />File Number:______ <br />Application Fees: <br />$250 for imtial variance <br />$50 for each additional variance <br />$150 for renewal variance <br />Aftcr-thc fact variances are double the basic fee. <br />The Administrator may require a consultant such as a traffic en^. <br />IrThi^or city assessor to review your application. You will be requned to pay for tins <br />service. City staff will notify you if a consultant is retained. <br />APPUCANT INFORMATION: <br />Name: <br />Mailing Address: <br />City/Statc/Zip:. <br />Daytime Telephone <br />Fax Number:____ <br />NOTICE: <br />The applicant is hereby advised, pursuant to Minnesota Statutes 15.99, Subd. 3(e), that <br />due to pubBc hearing legal notification requirements and the Plannmg <br />City CtLtil schedule, it may take 75 to 120 days <br />t J appUcation, you are acknowledging that you have rerf arrf faUy “J <br />admiiUs^tive process. You further acknowledge the fee explanation imd a^ * • <br />r^eived from the City pertaining to additional fees mcurred wtth tins <br />application. <br />APPLICANT’S STATEMENT <br />This appUcation should be processed m my name, and I am the p^ whom the City <br />should"ntact about this application. 1 have read mtd <br />With this appUcation. To the best of my knowledge, the documents and information I have <br />provided are accurate. <br />AppUcant’s Signature Date <br />Vananc€ Application Form <br />Page—4