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(attach additional sheets if necessary) <br />REQUIRED SUBMITTALS <br />All of the following information must be subnltted by the application <br />deadline date in order for your application to be considered complete; <br />1. v^- Completed Application Form <br />.'5^ 2. Certified Property Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-605 Covt Center <br />,348-3271). <br />^ 3. </ Plat Map (obtained with property o.ners list). <br />! . Certificate of survey (signed by a licensed surveyor) to include <br />' * . hardcover calculations as required (provide one (1) copy 8%"xll” for <br />Y reproduction). <br />_ _Topographic survey (existing and proposed elevations) if any changes <br />^ / in existing grade are proposed (provide one copy 8>5"xll").V^ Slcetches or plans of floor & elevation views (provide 1 copy 8Js"xll"). <br />^ j\ 7.___As an addendum to this application, please attach a separate list of <br />any other persons ycu wish notified of this application. <br />8.___Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that your varlaicce application is not complete if the above <br />information 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 . iginal fee payment) and/or consultant expenses <br />incurred in review of this app^ication^^^nd certifies that the information <br />supplied is true and cor^c^to the^Jj^t of his/her )cnowledge. <br />Applicant's Signature ^ Date /-7 <br />OWNERS SIGNATURE <br />The owner hereby aclcowledges end agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents. Commission membe^:j&r^nd Coip»^al members for purposes of investiga­ <br />tion and verification ,of bj^s recta^^. <br />Owner's Signature \Date h'!/) <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planring 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 Coomiisslon emd 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. <br />L