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(attach additional sheets if necessary) <br />All of the following information must be submitted—_b^j[—the—application, <br />deadline date in order for your application to be considered cqmpletej^ <br />1. Completed Application Form <br />2. T”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 />3. I Plat Map (obtained with property owners list). <br />4. • Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy eh”xll" for <br />reproduction). <br />^ 5. Topographic survey (existing and proposed elevations) if any changes <br />■ in existing grade are proposed (provide one copy 8^ x)l ). ^ <br />6. S)cetches or plans ol 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 />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 variance application is not complete__if—Uie— <br />inforT«'?«tion has not been included. <br />APPLICANT'S SIGNATURE <br />The applicaiit 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 c^^Ls application, and certifies that the information <br />supplied is true en^cjo^e^ ftfo ^he best of his/her )cnowledge. <br />Date 3/^'3________Applicant's Signature <br />OWNERS SIGNATURE <br />The owner hereby ac)cowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, Cornmission members, lan^l Council members for purposes of investiga ­ <br />tion and verification of request <br />t'vA W/3/9JOwner’s Signature T ^ Date <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 or 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 ma)ce arrangements to ..ave an <br />authorized agent attend in your place and to advise the Building i Zoning <br />Office of this change prior to the meeting.