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(attach additional sheets if necessary) <br />REQUIRED 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 />Completed Application Foxnn <br />1 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). ^3 -Vi OOO^ <br />3. y Plat Map lobtained with property owners list). <br />4. V Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8%"xll" for <br />reproduction). <br />5. N^Topographic survey (existing and proposed elevations) if any changes <br />V in existing grade are proposed (provide one copy 8is"xll"). <br />6. V SJcetches or plans of floor & elevation views (provide 1 copy 8%"xll**). <br />7. <br />8. <br />As an addendum to tiiis 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 />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />infomiation has not been included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide ail 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 the best of his/her knowledge. <br />jQ f)0 OIL — <br />Applicant ’s Sianatur^V>rWi1 r JffiU A Date ‘ ^ <br />OWNERS SIGNATURE ^ ^ <br />The owner hereby ackowledges and 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 this request. <br />Data ^Owner’s SicmatureS)tYirY>rt^^ <br />- , ,- - - - - - -^^ <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 CGBBd.8slon and Council. If an applicant 1s <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 4 Zoning <br />Office of this change prior to the meeting.