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cify) <br />ction Cost $ <br />It <1 ^ ^ <br />^ / * <br />Hardcover <br />Rear) <br />-y*"^ - ~y <br />mIK <br />^ .jdkdfc*! - <br />DescrilN» un$%»m her^ehl^ or precticel difficulty rvMltlfi^ frds etflet <br />eoforc—nt of toning roovlat loos i <br />^saumon or vmocvAL Fmmmrf atmmm^ <br />Deacrilw uooeoel property cofiditieee preventln9 coi^llance eitli toniny <br />Cede Reyuirenentai _______. <br />n <br />1. <br />3. <br />ringp sosiirnuLS <br />4. <br />s. <br />ft. <br />7. <br />Ccnpleted JippUcation rem <br />Certified Froperty Oimert List of oenere eiihin 150* Cycii ttoal detain <br />this liit ftom Hennepin Oemty Depertatet ef finance a-ftOl Oovt Center <br />I4t-137ll. <br />steeped, leyal eieed envelopee (#10> pre«eddreesed to eacli of the <br />nanee on the above liat vith no return addreee (uee addreet lehett <br />obtained with property owner# list). <br />Certificate of eurvey includiny hardcover celculetione ee required. <br />Topoyrephic survey iesittiny and proposed eievetiona) if any chanyea <br />in exietiny yrade are proposed, <br />flat Nep (obtained with property owner# lietK <br />A# an eddendun to thie application, pleaae attach a separate liat of <br />any other peraone you wiah notified of this epplicetioii. <br />Additional itees as nay be requ«|ted by City staff. <br />The Applicant end froperty Owner nuat siyn thie application. fleaee <br />rene*^ber that your variance application is not conplote if the above <br />information has not been included. <br />Certification by toniny Department that Variance Application i# oomplete. <br />Zoniny Official's Signature Date <br />AFPLICAHT'S SlGMATtlHS <br />The applicant hereby agrees to provide all information reguired 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 le true and correct to the best of his/her <br />knowledge. <br />. OatoApplicant's Signaturs <br />OMliERB SlGHATimE <br />Ths ownsr hsreby ackowledges and agress to this application and further <br />authcriies reasonabls entry onto the property by City staff, consultants# <br />agents. Cosnission xtcmbers. and Council members for purposes of ir.vestiga** <br />tion and verification of this request. <br />Owner's Signature Date <br />Applicant must have all subnittals into the City offices 25 days before tho <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 ft Zoning <br />Office of this change prior to the meeting.