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Frr <br />06/27/95 i^t24 c:tv or oRCNO si2 -473-7337 00] <br />REQUIRED SUB^f^T^Ti: <br />AJI of thg fOllQWlna tnfoimatlfln Ftiut ^^ihmltfd br th« apnllcati«m flftMriUna A^ti. i,f <br />to be 4ffliialdcrcii_coiiipict'ii <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />. Con&pletcd Application Form <br />_ Certified Property Owuen List wf V'^ners within ISO' (you must obtain thJs list ftoia <br />Hennepin County Depaitnicnt of Plnatica, A-OOO, Ocvt Center, 348-3271), <br />_ Plat Map (obtained with property O’^non list). <br />_ Certlflcttu; of Survey (signed by a licensed surveyor) and inelude hardcover <br />calculations as required. In addition, provide one (1) copy 8V4" x 11** for <br />reproduction. <br />Topographic survey (existing and propetad elevations) if dny changes in existing grade <br />’ are proposed. In addition, provide ons (1) copy 8V4" x 11" for reproduction. <br />_ Sketches or plans of floor A elevMi^n views (provide one (J) copy SV^" x 11"). <br />^ List of the legal names (Include marltc t status) of all persons with an interest in die <br />property. Tl^s would include narneCs) of appllcant(s) if not uuucm owuci(i). <br />As an addendum to this application, please aiucli a sepataie Itsi of any other persons <br />, you wisii noliHed of ihU spplioaliun. <br />Additional liems as may be rc4ucnicd by City staff. <br />'llie Applicant and Property Owner must sign ttiis application. Please lemembrr Umt vour <br />variance uppllcailon la not complete If the above liiformatfon has not been Included. <br />APPLICANT’S SIGNATURE <br />The apnllcaiu hereby agrees lo provide all Infoimatlon required or requested by the Zoning: <br />Adamiiatrator, agrees to pay additional fees (jtaff time tiot coerefl by original fee payment) <br />end/or consullam expenses incurred in review of this application, and certifies that tlie <br />infomtation supplied is Uuc/tiid coitc^l iq Utc Inst ufliis/hcr knowledgef // A <br />Applicant's SIgnatura '/M Dat<C^aOWNER’S SIGNATURE <br />Tlie owner hereby acknowledges and agrees to thin appllcHtlon and fuiUier authurUcs leanooable <br />entry unto (lie property by City staff, consultants, agemi, Commissioa metnbers, and Council <br />mciiibera for puiposes uf inveatlgailua and vetlflwuilon of iliis request. <br />Owner's Signature ^^7^ 199.^ <br />Applicai:' must aave all submilials Into the City offices 25 days bcfor^dio Planning CommisMiua <br />Meeting. Planning Commission Meetings ate held on the Uiird Monday uf each munlli. <br />Applicants mutt be preseot at all scheduled review meetings of the Planning Cunuiiissluu <br />and Council. If an applicant Is unable to attend a scheduled meeting, please make arrangements <br />to liiivc an audioiired ageut anend In your plaue <nid to advise Uie Building A Zoning Office uf <br />tills cliauge pilor to tlie meeting. <br />L