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(attach additional sheets if necessary) <br />RWim infopB^tiop"must be submitted by the appli^tlon <br />deadline date in order vour application to_.^__cpnside^^_conplete; <br />1. <br />2. <br />Completed Application Form <br />“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 Sh”xll” for <br />S. TopoqTaphic'^lurveY (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8h"xll-). <br />6. S)cetches or plans of floor & elevation views (provide 1 copy 8»i"xll"). <br />7] p,s 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 nay be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that vour variance application is not complete —if—tbe—above <br />4ti^oTTiM>»-trin has not been included. <br />APPLICANT'S SICNATDRE <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 corr^t to the best of his/her )cnowledge. <br />J^plicant's Signature rate <br />OMHERS SIGNATURE <br />The owner hereby ackowledges and agrees to this application an . <br />authorizes reasonable entry onto the property by City staff, consu ' <br />agents. Commission members, and Council members for purposes of inves ig <br />tion and verification of this request. <br />Owner's Signature f()O0 PMc^_ _ _ _ _ __ <br />Applicant must have all submittals into the City offices 25 <br />Pleuuiing Commission Meeting. Planning Commission Meetings "...e epxeuuiing COnuniS»a»xwii x----------------------------- - «,-heduled <br />third Monday of each month. Applicants must be f^ <br />xeview meetings of the Planning Ccnnaission and Council. If an pp <br />unable to attend a scheduled meeting, please make arrangements o _ <br />aucnorized agent attend in your place and to advise the Building <br />Office of this change prior to the meeting.• • <br />. V •. ..