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REQUIRED St^Nim ALS <br />Ail of the following information roust be submitted bv the application deadline date in order <br />for vour application to be considered complete: <br />1. <br />^. <br />3. <br />4. <br />5. <br />6. <br />7. <br />9. <br />^ Completed Application Form <br />Certified Property Owners List of owners within 150’ (you must obtain this list from <br />Hennepin County Department of Finance. A-603, Govt Center, 348-3271) <br />Plat Map (obtained with property owners list). <br />y/ Certificate of Survey (signed by a licensed surveyor) and include hardcover <br />calculations as required. In addition, provide one (1) copy 8'/^" x 11" for <br />reproduction. <br />NTopographic survey (existing and proposed elevations) if any changes in existing grade <br />are proposed In addition, provide one il) copy 8'/^:" x 11" tor reproduction. <br />^ Sketches or plans of floor & elevation views (provide one copy 8*^" x ID. <br />List of the legal names (include marital status) of all persons with an interest in the <br />property This would include name(s) of applicant(s) if not current owner(s). <br />/V/> As an addendum to this application, please attach a separate list of any other persons <br />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 remember that your <br />variance application is not complete if the above information has not been included. <br />APPLICANT ’S SIGNATITIE <br />The applicant hereby agrees to provide all information required or requested by the Zoning <br />Administrator, agrees to pay additional fees (staff time not covered by original fee payment) <br />and/or consultant expenses incurred in review of this application, and certifies that the <br />information supplied is true and correct to the best of his/her knowledge. <br />Applicant ’s Signature ^t l LC\ D^te <br />OWTVER’S SIGiN.ATLTl^ ^ <br />The owner hereb\ acknowledges and agrees to this application and further authorizes reasonable <br />entry onto the property by City suff. consultants, agents. Commission members, and Council <br />members for purposes of investigation and venfication of this request. <br />Owner’s Signature <br />A <br />V __________ <br />X yyi <br />Date y// Z / 9</ <br />Applicant must have all^mittals into the City offices 25 days before the Planning Commission <br />Meeting. Planning Commission Meetings are held on the third Monday of each month. <br />Applicants must be present at all scheduled review meetings of the Planning Commission <br />and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements <br />to have an authorized agent attend in your place and to advise the Building & Zoning Office of <br />this change prior to the meeting.