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(attach additional sh««ts if necessary) <br />REQUIRED SUBMITTALS <br />the fol loving infonsatioo »ust be sulmittedi by* the npplir»Mi%n| <br />deadline date in order for your epplication to be considered ccapleteT--------- <br />l«_X^Conpleted Application Forsi <br />Property Owners list of o«mers within 150* (you nust obtain <br />Hennepin County Department of Finance A-603 Ccvt Center <br />Map iobtained with property ovnexa ^ist). <br />-®te of survey (si'jned by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8»i"xll" for <br />reproduction). <br />S.^Topoqraphic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8>i"xll"). <br />f*—plans of floor a elevation views (provide 1 copy 8H"xll*) <br />nddendua to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />®»- -Addit..onal items as eay be requested by City staff. <br />• <br />The Applicant and Property Owner must sign this application. Please <br />r^en^er that —^riance application is not carolete if the above <br />■IMprsiation has not been included. ------------------------------ <br />APRLICAIIT'S OIGMATURB <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees tc p«y additional fees (staff <br />supplied is true and correct to the best of his/her )cnowledge. <br />Applicant's Signature^^jns..^/I Dato C> > f2 <br />OmiBRS SIGMATORB <br />The owner hereby ackowledges and agrees to this application and iurther <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, Cononission members, and Council members for purposes of Investiga- <br />tion and verification of this request* <br />Owner-s Signature /■— Date h ^ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planr'ing Commission Meetings are held on the <br />third Monday of each month. Applicants aost be present at all scheduled <br />reviw Meetings of th« Planning Cassaission and Council. If an applicant is <br />* scheduled meeting, pl«ase make arrangements to have an <br />attend in your place and to advise the Building « Zoning <br />Office of this change prior to the mcotii,c.