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rI <br />\ (at.t.ach additional sheets if necessary) <br />required SUiiMITTALS , . 4. „ <br />of t^e follo%^pg information must be submitted by the applxcation <br />def*dline date in order for your application to be considered completg^ <br />1. v/ Completed Application Form <br />2. > Certified Property Owners List of owners within 150' (you must obtain <br />this list fror.. 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 i^nclude <br />hardcover calculations as required (provide one (1) copy 8%''xll" for <br />reproduction). <br />5. Topographic survey (ex sting and proposed elevations) if any changes <br />in existinc crade are proposed (provide one copy 6H"xll"). <br />6. ✓ S)cetches or plans of floor s elevation views (provide 1 copy ). <br />1'. As an addendum to this application,, please attach a separate list of <br />8. <br />any other persons you wish notified of this application. <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variemce application is not complete if_the—ahoy e <br />information has not been included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requesVed by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and''or ccnsu_tan_ expenses <br />incurred in review of this application, and certifies that the information <br />supplied is true and correct t<5 the best of his/her kncwledoe. <br />Applicant's Signature S . ^ _ _ _ _ _ _ <br />Date <br />OWNERS SIGNATURE ^ r v <br />The owner hereby ackowlecges and agrees to this app-icaticn and ..u..w.ie^ <br />authorises reasonable entry onto the property by City staff, consultants, <br />agents, Commission members, and Council members for purposes of investiga ­ <br />tion and verification o^ this request. ^ J'Z'b <br />Ovmer's Signature _____________________ Date _ . / <br />Applicant must have all submittals into the City offices 25 days before the <br />Plannino Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />rovicw meetings of the Planning Cammission and Council. -- a.. appi..cant is <br />unable to attend a scheduled meeting, please m.ake arrangements to have an <br />author!ted agent attend in your place and to advise the ou*ld..ng & ..o,i..ng <br />Office of this change prior to the meeting. <br />#1878 !