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(attach additional sheets if necessary) <br />REQUIRED SUDMITTALS <br />All of the following information must be sub mitted by the application <br />deadline date in order for your application to be considered com plete: <br />1. v/^Completod Application Form <br />2. ^/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. Plat Map Vobtained 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 8Ji ”xll" for <br />reproduction), <br />5. _Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8J<"xll ”). <br />6. s/ Sketches or plans of floor & elevation views (provide 1 copy 8>j"xll"). <br />7. ^As an addendum to this application, please attach a separate list of <br />any other rersons 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 the above <br />information has not been included. <br />APPLICANT’S SIGNATURE <br />The appllca.nt hereby agrees to provide all information required or <br />requested by ».-ie Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee pa/ment) 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 />Date <br />—! / / <br />Applicant’s Signature K , <br />ONNERS SIGNATURE J <br />The owner hereby ackowledges i*nd agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents. Commission m»=‘inbnrs, and Council monbers for purposes of investiga­ <br />tion and veriiiration of this request. <br />Owner's Signature _^y 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 Cendssion 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. <br />~3T 1^^ \\iCUyhl\y