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(attach additional sheets if necessary) <br />hqdibed subhittals <br />folloiflnq infonaation auat be siitaitted by bhe application <br />Am^^m <ii order for your application to be considered ccapletei <br />V CCTPpleted Application Form <br />yl^Ttified Property Owners List of owners within 150’ (you must obtain <br />p-'V <br />'*•± <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />348-3271). <br />Plat Map (obtained with property owners list). <br />Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy SH^xll" for <br />m <br />I reproduction). <br />Aropographic survey (existing and proposed elevations) if any <br />i'm- <br />'■■•r ' <br />i <br />ff’ <br />& <br />changes <br />in existing grade are proposed (provide one copy 8Ju"xll"). <br />6. V Sketches or plans of floor 6 elevation views (provide 1 copy 8*j"xll"). <br />iSikKm 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 />The Applicant and Property Owner must sign this application. Please <br />remember that your variance application is not complete if the above <br />4 tiVormatioo has not been included. <br />iM <br />AmJCAMT'8 SIGMATORB <br />The applicant hereby agrees to provide all information required or <br />yequmstmd 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 /bf ;^is/her knowledge. <br />Applicant's Signature Date <br />0HBB8 8ZaOkTmB <br />The owner hereby ackowledges and ag^e^j^to this application and further <br />authorises reasonable entry onto the property by City staff, consultantSr <br />agents# Comoiission members, and Council members for purposes of investiga ­ <br />tion and verification of Shift <br />Owner's Signature Date <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Cosmiission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Ap^ic^nts eust be present at all scheduled <br />review meetiJigB of Planning C^emassion and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorised agent attend in your place and to advise the Building & Zoning <br />Office of this change prior to the meeting. <br />li'"' <br />leWi