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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted by the application <br />deadline date in order for yoor application to be considered completes <br />,\1._ _^Completed Application Form <br />2. y 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.v/ Plat Map (obtained with property o:vners list). <br />4._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%’'xll"). <br />6._Sketches or plans of floor & 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 yodi.- variance application la not complete if the above <br />Inforaatlon 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 corre^C^to the best of his/her knowledge. <br />Applicant's Signature Date -2 - <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, Commiasiommembers, and Council members for purposes of investiga­ <br />tion and verification of"^tiiis request. <br />Signature \Owner's Date asL 9^ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetxngs are held on the <br />third Monday of each month. Applicants must be presenv at all scheduled <br />review meetings of the Planning Cosoalsslon and Council. If an applicant Is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />^ _I. A-^ X- X_ _ _ _ _tl J __ _ _ _ _ _ _^____ _ _ _9 X_ __ _ _J_ _f_ _W ^1 ^ m ^f.*7 ^