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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />of fche following information must b0 subnuttod by t:he application <br />deadline date in order for your application to be considered completej^ <br />1. Completed 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 (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 8Js"x] 1" for <br />reproduction). <br />5. Topographic' survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%"xll"). <br />y Slcetches or plans of floor & elevation views (provide 1 copy 8J5"xll"). <br />_ _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 _aboi^ <br />infomation 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 host of his/her Icnowledge. <br />Applicant's Signature Date 7/^ /^3 <br />OWNERS SIGWATURE <br />The owner hereby aclcowledges and agrees to this application and further <br />authorizes reasonable- entry onto th6 prc^erty by City staff, consultants, <br />agents. Commission members,^^!^ CounciJk::^einbers for purposes of investiga­ <br />tion and verification reque <br />Date //<^Owner's Signature <br />____________________________________________ <br />Applicant must have submi^ls Into the City offices 25'days before the <br />Planning Commission /Meeting. ^Tlanning Commission Meetings are held on the <br />third Monday of eacii month. Applicants must be present at all scheduled <br />review meetings of the Planning CcsBiission 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 6 Zoning <br />Office of this change prior to the meeting. <br />• * <br />f