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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />t:he follcminq information must be subaitted by the application <br />deadline date in order for your application to be considered coapletet <br />a <br />^ 1» Completed Application Form <br />.r 2._v/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 />^ 3.J/_Plat Map (obtained with property owners list). <br />V . fV4. Certificate of survey (signed by a licensed surveyor) to include <br />^ .. hardcover calculations as required (provide one (1) copy 8*i”xll" for <br />.V, reproduction ). <br />^^6’ ___Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%"xll"). <br />iZ._SJcetches or plans of floor t elevation views (provide 1 copy 8%"xll*) <br />•___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 application is not cyplete If the <br />information haa not been included. <br />APPLICAHT'S SIGHATURB <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 a^p^ication^^nd certifies that the information <br />supplied is true and correjstT^o the^^^j^t oi his/her knowledge. <br />Applicant's Signature Date ? <br />ONNBRS SIGHATURB <br />The owner hereby ackowledges and agrees to this application and further <br />authorizes reasonable entry onto the ocoperty by City staff» consultants, <br />agents. Commission membe^^s-T'^ind Coun^i^l members for purposes of investiga­ <br />tion and verification .df tlUs reotiMt. <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 />review meetings of the Planning Coandssion 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 />—**>»■**Itli