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w <br />(attach additional sheets if necessary) <br />required submittals <br />of the following information mast be submitted by the application <br />deadline date in ordcr^ for your application to be considered complete; <br />1. <br />2. <br />Completed Application Form <br />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 8%"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%"xll"). <br />6. Sketches or plans of floor & elevation views (provide 1 copy 8J5"xll"). <br />7. <br />8. <br />As an addendum zo 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 />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete If the above <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 infojrmation <br />supplied is true and correct to the best of his/her knowledge. <br />Applicant's Signature P)[eJir. /y] l^tA A A Date !C 1I <br />f <br />OWNERS SIGNATURE <br />The owner hereby ackowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultantSj» <br />agents, Commission members, and Council members for purposes of investiga­ <br />tion and verification of this request. <br />Owner's Signature Date <br />Applicant must have all submittals into tM City offices 25 days before the <br />Planning Commission Meeting. Planning CoK^ission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />reyiew meetings of the Planning Cosmission 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 * Zoning <br />Office of this change prior to the meeting.