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REQUIRED SUBMITTALS <br />All of the foiinwiny infnrm3rioti must bt subiuingd the Mint Jn <br />order fcr vour applicarion to he considered coiPPlgttl <br />1. X <br />2. <br />j. <br />4. <br />5. <br />6. <br />id <br />7. <br />8. <br />Completed Application Fonn <br />Certified Property Ovvners List of owners within 150', labels and plat map (you <br />must obtain this list, labels and map from Hennepin CounW Department of <br />F'nance, A-603, Govt Center, 348-j 271). <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8'/j x 11 for <br />reproduction. ... <br />Topo-n-aphic survey (existing and proposed elevations) if any changes in existing <br />grade are proposed. In addition, provide one (1) copy 8'/i" x 11" for reproduction. <br />Sketches or plans of floor & elevation views (provide one (1) copy 8'/i" x 11"). <br />List of the legal names (include marital status) of all persons with an interest in <br />the property. This would include tiame(s) of applicant(s) if not current owneKs). <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 Cit>- staft. <br />The Applicant and Property Owner must sign this application. Please remember that ysuiT <br />variance anqirntinn is not complete if the above information HOt been jntlwdtiL <br />APPLICANT’S SIGNATURE <br />The applicant herebv 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 of this application, and certifies that t e <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant’s Date <br />OWNER’S SIGNATURE <br />The owner herebv acknowledges and agrees to this application and further authonzes retaonable <br />entry onto the property by City staff, consultants, apnts. Commission members, and Council <br />members for purposes of investigation and verification of this request. <br />Signature Date <br />make anangements to have an authorized agent attend in your place and to advise the Buildmg <br />& Zomng Office of this change prior to the meeting. <br />8