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r <br />#18^3 <br />(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted by th^ appi </sw <br />deadline date in order for your application to be considered <br />1.___Completed Application Form <br />2*___Certified Property Owners List of owners within 150* (you must obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />___Plat Map (obtained with property owners list). <br />-----Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8J5"xll" for <br />reproduction), <br />5.-----Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%"xll"). <br />___Sketches or plans of floor ft elevation views (provide 1 copy eJi^xll”). <br />7.-----As an addendum to this application, please attach a separate list of <br />any other persons 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. <br />remember that yoar vari^mce application is not complete if th' <br />i-P^onaation has not been included. <br />Please <br />above <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or consultant expenses <br />incurred in review of this application, and certifies that the information <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant's Signature Date <br />OWNERS SIGNATURE <br />The owner hereby ^kow>edges and agrees to this application and further <br />autnorizes reason^:fcl-eentry onto the property by City staff, consultants, <br />agentSf Commission members^ and Council members for purposes of investiga­ <br />tion and verification of this request. <br />Owner's Signature Date <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />meetings of the Planning Conmission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend In your place and to advise the Building ft Zoning <br />this change prior to the meeting.