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>lr <br />norfkjnLfnvntf <br />OFFICE ■ <br />i <br />I 200,00: <br />200,00 <br />m YOU <br />liOl Ji: <br />05/2- , <br />ixM^ <br />4. <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted bv the application deadline date in order <br />for vour application *j be considered complete; <br />1. Completed Application Form <br />2. ___Cenified Propeny Owners List of owners within 150’ (you must obtain this list from <br />Hennepin County Department of Finance, A-603, Govi Center, 348-327I>. <br />3. __Plat Map (obtained with property owners list). <br />4. ___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 />5 . ___Topographic survey (existing and proposed elevations) if any changes in existing grade <br />are proposed. In addition, provide one (1) copy 8'/i" x 11" for reproduction. <br />6. ___Sketches or plans of floor & elevation views (provide one (1) copy 8'/i" x 11"). <br />7. ___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 />8. ___As an addendum to this application, please attach a separate list of any other persons <br />you wish notified of this application. <br />9. ___Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remem&er that vour <br />variance application is not complete if the above information has not been included. <br />% <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <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 the <br />information supplied is tru^^*d correct to the best of his/her knowledge. <br />OWNER’S SIGNA' <br />The owner hereby acknowledges and agrees to this application and further authorizes 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 />Applicant's Signatun <br />Owner’s Signature^ <br />'y/i <br />Applicant must have all suomittals into the City omces 25 days before the Planning Commission <br />Meeting. Planning Commission Meetings are held on the third Monday of each month. <br />Applicants must be present at all scheduled review meetings of the Planning Commission <br />and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements <br />to have an authorized agent attend in your place and to advise the Building & Zoning Office of <br />this change prior to the meeting. <br />S <br />> • •tr I y /