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(attach additional sheets if necessary} <br />REQUIRED SDBMITTAI^ <br />All of the following information must be sxibmitted by the application <br />deadline date in order for your application to be considered complete* <br />iV Completed Application Form <br />2. .,/ Certified Property Owners List cf owners within 150' (you must obtain <br />this list frcm Hennepin County Department of Finance A-603 Govt Center <br />/ 340-3271). <br />3. V Plat Map (obtained with property owners list). <br />4. y Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8Jj"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>j'*xll") <br />6. v^SJcetches or plans of floor i elevation views (provide 1 copy 8%"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 />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 variance application is not cnwipiete if the «Hove <br />information has not been included. <br />APPLICAHT'S SIGHATURE <br />The applicant hereby agfees to provide all informatio required or <br />requested by the Zoning Aduinistra^r, .'agrees to pay additlora , * .ies (staff <br />time not covered by ojfi< inal f^e p^lyment) and/or consultant expenses <br />incurred in review of thWfe <br />supplied is true and correct to <br />i <br />Applicant's Signatui^rf^^^^|^^]R^ <br />application, arid certifies that the information <br />pet t iS^/her )cnowledge. <br />Date <br />OWNERS SIGNATURE <br />The owner hereby ackowledgesj^nd agrees to this application and further <br />authorizes reasonable ^ntry Wfo the/property by City staff, consultants, <br />agents. Commission men(bers, Md Council mepbers for purposes of investiga­ <br />tion and verificatilgjy of thip zecfuesjt, -------------- ^ ^ <br />Date )Owner's Signature <br />Applicant must have all submittals into the Cxty 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 meetlrgs 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.