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(attach additional sheets if necessary) <br />required submittals <br />All of the following information must be sxibmitted by the application <br />dead 1 ine date in order for yoiir applicat:ion to be considered complete; <br />1. l/^Completed Application Form <br />2.4'''Certified Property Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-603 Gcvt Center <br />348-3271). <br />3. 4^ 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 8J<"xll" for <br />.reproduction). <br />5. ^Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8J!"xll"). <br />6. l^Sketches or plans of floor & elevation views (provide 1 copy 8h"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 />0,_ _Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />jnfoiT"ation 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 correct to ^e^b^t of his/her knowledge, <br />Applicant's Signature icTl \ ^ •4—-Date <br />k,! ^ ^ • <br />/c{^i <br />ONNERS 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, and Council members for purposes of investiga <br />tion and verification ^^/th/s request. <br />Date /Q/fo/^/j>_______Owner's Signature <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on tne <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an app ican xs <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 & onxng <br />Office of this change prior to the meeting.