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(attach additional sheets if necessary) <br />REQUIRED SDBMITTAIiS <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, t/^Completed Application Form <br />2.77^ertified 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, Z/'plat Map (obtained with property owners list). <br />4, T^Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 8ij"xll" for <br />✓reproduction). <br />5, ^Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8*j"xll"). <br />6. b^)cetches or plans of floor & elevation views (provide 1 copy 8ij"xll ’*). <br />7. 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 />• • <br />The Applicant and Property Owner must sign this application. Please <br />remember that voor variance application is not conplete if the_above <br />Inforaatlon has not been included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide a 11 . .information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />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 t)>e''S^t of his/her )cnowledge <br />,-D. 'Applicant’s Signature 'env Date <br />M ^ • <br />JC/l t / <br />ONHERS SIGNATURE <br />The owner hereby acicowledges 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 ^^^h/s request. <br />Date IO/jo/^3______0«mer's Signature <br />Applicant must have all submittals into the City crficjs 25 days before the <br />Planning Commission Meeting. Planning Commissioxi Meetings are held on e <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Coemission and Council. If applicant is <br />unable to attend a scheduled meeting, please ma)ce arrangements to have a.i <br />authorized agent attend in your place and to advise the Building 4 x<on ng <br />Office of th_s change prior to the meeting. <br />•• • • <br />• •• <br />- • \ ■; .