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(X ^\\OCoUe. <br />REQUIRED SU'BMnTALS <br />All of the follnwinp mformation must be submittfd bv the applkation deaMn e_datejnOTd^ <br />for vour application to be considered completei <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />^ Completed Application Form . .. r <br />~ Certified Property Owners List of owners within 150’ (you must obtam this list from <br />~ Hennepin County Department of Finance, A-603, Govt Center, 348-3271). <br />^ Plat Map (obtained with property owners list). <br />“ Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8-i x 11 tor <br />Topographic survey (existimi and proposed elevations) if any changes in existing grade <br />— are proposed. In addition, provide one (1) copy 8«.^" x IT for reproduction <br />-- Sketches or plans of floor & elevation views (provide one (1) copy 8 ^ <br />^ List of the legal names (include mantal status) of all persons with an interest m the <br />propcrtv'. This would include name(s) of applicant(s) if not current owner(s). <br />As an addendum to this application, please attach a separate list of any other persons <br />vou 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 remember that vour <br />varianre annliruiinn is not complete if the ab ove information has not been inelud.ejL <br />The applicant hereby agrees to provide all information required or requested by the Zomng <br />Administrator, agrees to payadditional fees (staff tune not covered by origmal fee payment) <br />and/or consulunt expen^sincjIswiLOn review of this applicatton. and certifies that the <br />information supplied i^tue knowledge. <br />Applicant ’s CionanirS . T- Date &-I n | <br />OWNER’S SIGNATURE , .. <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the propcrtr by Ciiy^tf. consultants, agents. Commission members, and CouncU <br />members for purp^s of/1^ti^on and verification of this request. <br />J nateOwner’s Signatui <br />ADDlicant must have all submittah into the City offices 25 days before the Planning Commission <br />Meeting Planning Commission Meetings are held on the third Monday of each mon ^ <br />ADoUcLts must be present at all scheduled review meetings of the Planning Commission <br />^n^^ Council. If an applicant is unable to attend a scheduled meeting, please make arra^emen <br />to have an authorized agent attend in your place and to advise the Budding & Zoning Office of <br />this change prior to the meeting.