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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following infonaation must be submitted by the application <br />deadline date in order for your application to be considered complete; <br />1. <br />2. <br />Completed Application Form <br />Certified Property Owners List of owners within 150' (you must obtain <br />3. <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />_ _Plat Map (obtained with property owners list). <br />4. _Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8*j"xll" for <br />reproduction), <br />5. _ _Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%"xll"). <br />6. _SJcetches or plans of floor & elevation views (provide 1 copy 8%"xll"). <br />7. _As an addendum to this application, please attach a separate list of <br />8. <br />any other persons you wish notified of this application. <br />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 cosg>lete if the above <br />infoniation 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 Date 7 <br />ONNERS 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 thi^ request. <br />Owner's Signature Date 7yhs/3Ji. <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 Conmlsslon 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 6 Zoning <br />Office of this change prior to the meeting.