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(attach additional sheets if necessary) <br />KEQOIRED SOBMITTALS <br />All of the following Inforaatioo Must be submitted by the applicatioii <br />disadline date in order for your applicatioo to be considered coapletei <br />1. <br />2. <br />Coaipleted Application Forsi <br />_Certified Property Chmers List of owners %rithin 150* (you oust obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />3. _Plat Map (obtained with property o%mers list). <br />4. _Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8*i"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)ii”xll”). <br />6. _Sketches or plans of floor 4 elevation views (provide 1 copy 8H"xll"). <br />7. _As an addendum to this application^ please attach a separate list of <br />8. <br />any other persons you wish notified of this application. <br />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 ia not ccasplete if the above <br />informatl<m has not been included. <br />APPLICANT'S SIGNATORB <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 the best of his/her knowledge. <br />Applicant's Signature _____ Date 3 ~ *7 ~ V <br />ONNERS SIGNATORB <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 of this request. <br />Owner's Signature Date 3-7-^H <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 make arrangements to have an <br />authorized agent attend in your place and to advise the Building 4 Zoning <br />Office of this change prior to the meeting. <br />> • » <br />\• • <br />4 I <br />\\ . <br />' * • ' ^ \ * <br />V*. <br />V J <br />\ I