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nAtn\CMU•rrrrI“Tk .Vc. I w'« V'V.-4-7r A,*!I w* * W•• vn^/^ I C'»-*I i T i "» C' • ‘*1 t VW • 4-/vt /CVv.*/ • <br />^<2TE) <br />re <br />jroperf. <br />1*3 <br />1. Completed Application Form2. Certified Property Owners List of owners within 150' (you must obtainthis list from Hennepin County Department of Finance A-603 Govt Center348-3271).3. Plat Map (obtained with property owners list).4. Certificate of survey (signed by a licensed surveyor) to include <br />’ hardcover calculations as required (provide one (1) copy 8%"xll" for <br />ireproduction). <br />5. ?.'opographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%"xll"). ^ <br />6. Sketches or plans of floor & elevation views (provide 1 copy 8J5"xll'). <br />7. ~As an addendum to this applicatioUf please attach a separate list o <br />any other persons you wish notified of this application. <br />8. __^Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variatnce application is not complete—if— <br />4 Tiforwiation has not been included. <br />APPLICANT'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 knowledge. <br />Applicant's Signature Date <br />OWNERS SIGNATURE , . jThe owner hereby ackowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consu an s, <br />agents. Commission members, and Council members fci purposes o nves ga <br />tion and verification of this reqi^st. <br />Owner' s Signature / AT -- - - - - - - - - - - <br />AppUcIn7nus7hI7e‘7l77u7mittaXs into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetii^s are ^ . <br />third Monday of each month. Applicants must be present at <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make <br />authorized agent attend in your place and to advise the Build g g <br />Office of this change prior to the meeting.