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ija <br />1. <br />(? <br />• rmm office <br />1350200000 <br />-----01 CBi-' 75.00 <br />CHEEK- 1L • 75.00 <br />RECEIPT-WM you <br />'41D2530'COOi'm THU <br />\ ■ • 07/22/i <br />on <br />33-5597 or 536-0846 <br />922-3825 <br />_ Zip: - -55429 <br />Zip: <br />lonth/year ) <br />id. " * <br />• • <br />Residential <br />• -r • <br />;o8t $ <br />rer <br />Rear) <br />fc.»ss*ip <br />V . <br />m <br />r*-: <br />/ .: -' 7*s»n . <br />Id <br />s:s\, <br />3; <br />: tei*si . .V <br />IRDSHIP <br />Describe undue ha JBihipr ^ pi <br />enfpreempt .of zoning'^re^Belf <br />^ mi , * ^^ <br />cal difficulty resulting from strict <br />DSSCRIPTIOII OMOSUAL <br />Describe unusual property <br />Code Requirements: <br />nTnfTTTii¥ rpiffliTnii <br />roperty condxiions ipreventing compliance with Zoning <br />: •11 <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />fIRBD SUBMITTALS <br />Completed Application Form <br />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 />Stamped, legal sized envelopes (#10) pre-addressed to each of the <br />names on the above list with no return address (use address labels <br />obtaincKi with property o%mers list). <br />Certificate of survey including hardcover calculations as required. <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed. <br />Plat Map (obtained with property ovmers list). <br />As an addendum to this application, please attach a separate list of <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 <br />remember that your variance application is <br />information has not been included. <br />this application. Please <br />not complete if the above <br />by Zoning Department that Variance Application is complete. <br />Zoning Official's Signature_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date <br />** •• •• •• mm mm mm mm ^m mm mm ^m mm mm mm mm ^m mm mm ^m mm mm mm mm ^m mm mm ^m ^m ^m ^m ^m ^m ^m ^m mmm._ _ <br />APPLICABT'S SIGHATORB <br />The applicant hereby agrees to provide all information required 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^ i^ true and correct to the best of his/her <br />knowledge• <br />Applicant's Signature <br />OWNBRS SIGHATURB <br />The owner hereby ackowl <br />authorizes reasonable en <br />agents. Commission memb <br />tion and verification o <br />Date <br />ges and agrees to this applicatibn and further <br />rv onto the property by City staff, consultants, <br />and Council members for purposes of Investiga- <br />bis requ <br />Owner's Signature Dat <br />Applicant must have ^ll submittals into the City offic <br />Planning Commission Mesifeting. Planning Commission Meet 5 days b ;fore the <br />s are held on the <br />third Monday of each pionth. Applicants must be present at all scheduled <br />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 & Zoning <br />Office of this change prior to the meeting.