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(attach additional sheets if necessary) <br />required submittals <br />of t:he following information must be submi.t'ted by the application <br />deadline date in order for your application to be considered complete; <br />1. Completed Application Form <br />2. Certified Property Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Depart'.ent of Finance A-603 Govt Center <br />348-3271). <br />3. 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 8ij"xll" for <br />reproduction). <br />5. Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8J5"xll"). <br />6. S)cetches 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 />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 applicatxon. Please <br />remember that your variance application is not complete if the_ <br />infonnation 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 correp^ to the best of^is/her )cnowledge. <br />Applicant's Signature XC Date <br />7' Z <br />OWNERS 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 member^ and Couiici 1 members for purposes of inv'estiga— <br />tion and verification ofXrnis request. <br />Owner's Signature Date r/sf/w- <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 Plann.ing Connnission and Council. If an applicant ^s <br />unable to attend a scheduled meeting, please malce 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.