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(attach additional sheets if necessary) <br />SBQOlUD 80BHITTM.S <br />All of the folloarinq infon—tioo eust be sulmitted by the applicetioo <br />(deadline date in order for yoar application to be coesidered ccsnpletet <br />1. <br />2. <br />"-P <br />Conpleted Application Form <br />Certified Property Owners List of owners within 150* (you east obtain <br />this list froo Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />3,_ _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 eH*xll* for <br />reproduction). <br />_ _Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8>i*xll*). <br />€._ _Sketches or plans of floor & elevation views (provide 1 copy 0*j"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 />8. _Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance applicati<»> is not conplete if the above <br />infonsation has not been included. <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 O.V^GiJ Cate <br />OfiNERS SIGNATURE <br />The owner hereby ackowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents. Commission members, and Council members for purposes of investiga­ <br />tion and verification of A^is request. <br />Owner's Signature Date <br />Applicant must have all '^dbmittals into the fity offices 25 days before the <br />Planning Commission Meetihg. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Ccmmission 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 & Zoning <br />Office* of this change prior to the meeting. . • * <br />» . <br />a <br />9 <br />• r