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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following infonnation must be submitted by the application <br />date in order for your application to be considered conpletei <br />1. i/^Qompleted Application Form <br />^y^ertified Property Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />3.. <br />4.‘ <br />^^^8-3271). <br />at Map (obtained with property owners list). <br />.Certificate of survey (signed by a licensed surveyor) to i-'clude <br />hardcover calculations'^s' required' (provide one (1)’ copy 8%"xll" £'>r <br />eproduction).^reproduction). <br />5. V Topographic -suirvey ^existing*, and" proposed elevations) if any changes <br />ih existing grade are proposed (provide one copy 8%"xll''). <br />l/Sk«_S)cetches or plans of floor & elevation views (provide 1 copy 8%"xll**)» <br />, 7* \ addendum to this application^ please attach a separate list of <br />* ^ .any other persons you wish notified of this application. <br />8r%1f^d^*tional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember''that your variaiice application is not complete if above <br />information has not b<;en included. <br />------•—-----------------------------------------------------------.1—---------------______________________________ <br />APPLICANT'S SIGNATURE <br />Thi applicant he^reby agrees to,'provi«deV* al^l' 'ihf ormation 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 infonnation <br />supplied is true and correct to the best of his/her )cnowledge. <br />Applicant's Signature Date A 9,0 <br />OWNERS SIGNATURE <br />The owner hereby -acJcowledges 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 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 Commxssion Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission anj Council. If an applicant is <br />unable to attend a scheduled meeting, please maJee 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 />••''V'.. . V » . . “Av \ V n.. s(' \tv .. < . . <br />lil*~rrr[i miii r