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■J #/ A <br />/•W <br />REQUIRED SUBMITTALS <br />All of the followiny informati <br />for vour aPDlkation to be CQ <br />^ihmittcd hv the applicatioii deadlioe dateiaj <br />i complete: <br />•li'H <br />1. <br />2. <br />3. <br />4. <br />^ Ust of owners within 150 ’ (you must obtain this list ftom <br />^ Hel^ Co^nw Dep«nnem of Finance. A-<.03. <3ovt Cemer, 348-3271). <br />XPlat Map (obuincd with property owners list) - . , . u <br />■f Certificate of Survey (signed by a licensed surveyor and incl^ <br />calculations as requited. In addition, provide one (1) copy »'A x 11 for <br />5. <br />6. <br />7.5 - <br />8. <br />9. <br />List of the legal names ^mciuuc luainai ^ <br />oropertv. mis would include naniefs) of applicam(s) if not currem own^s). <br />As M ildendum 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 Applicam and Property Owner must sign this application. Please ^ ^ <br />varianre annlifation is iMt comnlete If the above infonmtlM hag not Iwcn ilidudctl. <br />^jn^licant hereby agrees to provide all infottnauon requited m tequesl^ by the <br />AdmiiStrator. agrees to pay additional fees (staff tiiM not covertri by <br />and/or consultam expenses incurred in review of this application, and certifies that the <br />information supplied is true and com^ to the best of his/her knowledge. <br />Applicant’s Signature « Date _ <br />members for purposes of in^estigafUi^and verification of this request. <br />Owner’s Signature <br />this change prior to the meeting. <br />8