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''jiv;;^'-ir-) •"- <br />tiome) <br />ciu OF cm) <br />FimCE OFFICE <br />01 Cf.V 200.00 <br />----------------- CHECK 71 200.00 <br />. - - ? i - oo^ifiECEIPT-THm YOU <br />-------- mam cool Roi 115:49 <br />torrens? 02/26/S9 <br />included on <br />v57 - c>o6 & <br />ne (work) V~^/ ~ o<=*o8 <br />toijo Zip:_fj£liJ7 <br />home) <br />ne (work) <br />Zip: <br />{month/year) <br />tls of land. <br />V,- :> <br />V- ::- '.'. v;: V> <br />^'•■‘c;■ :■.' ■:w-'I <br />,<••■.■ ,'■ ■■■'J.-/'v'-''■ •'■ V v; -r •:':,■■. <br />/ <br />iV Residential <br />•; < <br />■'. a:--/ <br />■ : :: ■ V'. '-?W <br />specify)_____________________ <br />truction Cost $ 30, ooo ^00 <br />Hardcover <br />ide Rear) <br />V-:' <br />: ■/WmMM <br />m-'-■rXt ■• •irffiflihTi I rfclT^\>,■;■'■'■*:'vi'^ J|f||^d||i|,, *■ «*■■ <br />■ • <br />•. fifir <br />I 3t-^ K. 'U,,, .............*"BAROSBIPDescribe undue hardship or practical difficulty resulting from strict enforcement of zoning regulations:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ _ _ <br />DESCRIPTION OP DNUSOAL PROPERTY CONDITIONS <br />Describe unusual property conditions preventing compliance with Zoning <br />Code Requirements:^_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ <br />• <br />REQUIRED SUBMITTALS <br />/L4 Completed Application Form <br />vfl'S Certified Property Owners List of ov'ners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />^48-3271>. <br />3.y Stamped'i legal sized envelopes (#10) pre-addressed to each of the <br />names on the above list with no return address (use address labels <br />obtained with property owners list). <br />Certificate of survey including hardcover calculations as required. <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed. <br />Plat Map (obtained with property owners list). <br />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />© <br />'i':. <br />v--> <br />8. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />information has not been included. <br />Certification by Zoning Department that Variance Application is complete. <br />Zoning Official's Signature _______________________________ Date_________________ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies that <br />the information supplied i-s"true^-arfd b^rrect to the best of his/her <br />knowledge. <br />Applicant's Signature Date <br />OWNERS SIGNATCRE <br />The owner hereby ackowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />c.gents Commission members^ and CoujuHrr"members for purposes of investiga- <br />V this 're <br />Date <br />tion and verifipation <br />Owner's Signature 4I, <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings arc 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 make arrangements to have an <br />authorized agent attend in your place and to advise the Building & Zoning <br />Office of this change prior to the meeting.