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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />1 of the following information must be submitted by the applicatior <br />deadline date in order for yoxir application to be considered ccmplete; <br />1, J^Conpleted 7»ppli cation Form <br />2, ^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 8*5"xll" for <br />. reproduction). <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8*5"xll"). <br />6,___S)cetches or plans of floor & elevation views (provide 1 copy 8*{”xll"). <br />1 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 Ow.ner must sign this application. Please <br />remember rhat your variance application is not complete if the above <br />information has not been included. <br />APPLltJ^.MT*S SIGNATURE <br />The applicant hereby agreers to provide all information required oi <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 co^p^e^ct tf>J^he^esj of his/her Icnowledge. <br />Applicant's Signature Date <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 members, aAd Cotncil members for purposes of investiga­ <br />tion and verificatvd^Pjpf thfls^ req^^st. <br />Owner's Signature'Date <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 Commission and Council. If an applicant is <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 6 Zoning <br />Office of this change prior to the meeting. <br />(:-y