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ML O r.^ O <br />• * ^ <br />.nfjik'?- •» <br />REQUIRED SUBMITTALS J i <br />All of the following information mu$t y^|hmitted by the application 4gadUp^ date in 9r^.6£ <br />for vour aPDlication to be considered complete:. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />/ Completed Application Form <br />Certified Property Owners List of owners within 150 ’, labels and plat map (you must <br />obtain this list, labels and map from Hennepin County Department of Finance, A-603, <br />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 8'A x 11 for <br />reproduction. ... <br />Topographic survey (existing and proposed elevations) if any changes in existmg grade <br />are proposed. In addition, provide one (1) copy 8'A" x 11" for reproduction.^ <br />V Sketches or plans of floor & elevation views (provide one (1) copy 8'-A x 11 ). <br />i/ List of the legal names (include marital status) of all persons with an interest in the <br />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 persons <br />you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remember that VQHE <br />variance aoDlication is not complete if the above infQnn^tion, haj npt ly^n in^tf^e^A <br />APPLICANT’S SIGNATURE , . u <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 expenses incurred in review ofjhis application, and certifies that the <br />iafonnadon supplied is ^ s~ <br />Applicam's Signamte ■ Q _____Dale gi ii --------- ■ <br />OWNER’S SIGNATURE ^ , <br />The owner hereby acknowledges and agrees to this application and further authonzes reasonable <br />entry onto the property by City staff, consultants, agents. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />4^ ----Owner’s Signamr^Date I / — <br />this change prior to the meeting. <br />8