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(attach additiona?. sheets if necessary) <br />r MOIRED ----------- be submitted by the .application <br />,1 1 of the .n„llcation to be considUed cegnletel <br />deadline <br />l.j/completed List of owners within ISO- (you must obtain <br />' — th' s ust fr^Hennepin County Department of Finance A-6C3 Govt Center <br />348-3271) . 1-4.1 <br />3.^Plat Hap (obtai-a wUn property owners IrsU^.^ ,„,.eyor) to include <br />l°uirUoL ” <br />5 T%"o\l“phic"lGrv?y (existing and proposed <br />= —i„^\isting grade a« proposed (provr^ <br />fs%'f“d^ndL to this application, please attach a separate list of <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 thi_s_application^.^^ Please <br />remember that vouir variance application is not complete_jJ- - - - - <br />information has not been included. ^ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Tire^n^t ^ov^r^d^Ty-lrig^nal fee pay^^^^^^^ <br />Sfel fs rr:t-nfco^r:ct^^^o^\r-\^o"/.^^^^^^^^ knowledge. <br />Applicant's Signature .//(cU^Date <br />OWNERS SIGNATURE aoDlication and further <br />The owner hereby aclcowledges an City staff, consultants, <br />authorises reasonable entry investiga- <br />agents. Commission members, and Council members tor purp <br />tion and verification of this request. <br />Owner's Signature <br />Date <br />Applicant must have all submittals '^*’®,g^Lon°Meetings^ are" held on the <br />Planning Commission Meeting. all scheduled <br />third Monday of each month. Applicants Council. If an applicant is <br />unlbr" “o*a?t?nd°\’'schedu “rmeeting!%lease mak^^^ <br />authorized agent attend in your place and to advise r <br />Office of this change prior to the meeting.