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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following information must be submitted by the applicatic <br />deadline date in order for your application to be cousidered comolete; <br />1. Completed Application Form <br />2. / Certified Property Owners List of owners within 150' (you mu'.t obtai <br />this list from Hennepin County Department of Finance A-603 Govt Cente. <br />348-3271). <br />3. / Plat Map (obtained with property owners list). <br />4. t/ Certificate of survey (signed by a licensed surveyor) to includ* <br />hardcover calculations as required (provide one (1) copy 8%”xll" fo: <br />reproduction), <br />Topographic survey (existing and proposed elevations) if any changer <br />in existing grade are proposed (provide one copy 8%"xll"). <br />6. y S)cetches or plans of floor & elevation views (provide 1 copy 8%"xll'') <br />7. 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 t.his application. Please <br />remember that voor variance application is not complete if the above <br />lafomation has not been incloded. <br />APPLICAMT'S SIGNATURE <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 )cnowledge. <br />Applicant's Signature Date 5'^ - <br />ONHERS SIGNATURE <br />The owner hereby aclcowledges 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 vei .fication of this request. <br />Owner's Signature Date 3"^ <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 Cosmiission and Council. If an applicant is <br />unable to attend a scheduled meeting, please ma)ce arrangements to have an <br />authorized agent attend in your place and to advise the Building t Zoning <br />Office of this change prior to the meeting.