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W-h' <br />■■ <br />•M.. <br />k- <br />^:S <br />S'- <br />f <br />) <br />■• <br />V/',v <br />(attach additional sheets if necessary) <br />RBQUIRED SUBMITTALS <br />aix of followliiq information must be submitted by the application <br />doadllns date in order for your application to be considered complete: <br />1. _Completed 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. 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 8Jj"xll"). <br />6, _Sketches or plans of floor & elevation views (provide 1 copy 8*5"xll"). <br />7. _^As an addendum to this application, please attach a separate list of <br />8. <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 vour variance application is not complete if the above <br />information has not been included. <br />APPLICAHT'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 />Arplicant's Signature Date <br />ONNERS SIGNATURE <br />The owner hereby ackowledges 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 this request. <br />Owner's Signature Date <br />Applicant must have all submitt Is 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 Ccmmission 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. <br />I <br />/