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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted by the application <br />deadline date in order for your application to be considered complete; <br />1. Completed Appxication Form <br />2. y/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. 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 8Js"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>i"xll"). <br />Slcetches or plans of floor & 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 variamce application is not complete if the above <br />information 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 corfect to the best of his/her knowledge. <br />Applicant's Signature • Date <br />OWNERS SIGllATDRE <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, Counci„^^erabers for purposes of investiga ­ <br />tion and verif j •i.tion oX/iiufs reque <br />Owner's Signature Date <br />Applicant must have ^1 submit;^ls into the City offices 25 days before the <br />Planning Commission /Meeting. ►'Planning Commission Meetings are heJ.d on the <br />third Monday of eac!fi month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission 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 S Zoning <br />Office of this change prior to the meeting. <br />. • • •• %-•^ 9 <br />. • t <br />V % .• • I