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(attach additional sheets if necessary) <br />rbqoired submittals <br />All of the following information must be submitted by the application <br />deadline date in order for your application to be considered complete; <br />1. *^^ompleted 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. *^g lat 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 8H"xll" for <br />^ reproduction ). <br />5. N PTopographic survey (existing and proposed elevations) if any changes <br />✓ in existing grade are proposed (provide one copy 8Jj"xll’*). <br />Slcetches or plans of floor & elevation views (provide 1 copy 8*i"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 />Additional items as may be requested by City staff. <br />6. <br />7. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />infonnation 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 />inctirred in review of this application, and certifies that the infonnation <br />supplied is true and corxr^Ct to the^e^ of hif/her )cnowledge. <br />Applicant's Signature Date <br />OWHERS SIGNATDRB <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. Commission members, and Council members for purposes of investiga­ <br />tion and verification of^-^his requ^t. <br />2-L0%mer's Signature <br />Applicant must have all su^ittals int^the City offices 25 days before the <br />Ilanning Ccnonission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants siust be present at all scheduled <br />review meetings of the Planning Coeadssioo and Council. If an applicant la <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 t Zoning <br />Office of this change prior to the meeting.