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I T 'k[(attach additional sheets .if necessary)H XBQOIBip SDBMTTIALS <br />|j ? iLll of the **^0!lowing information must be submitted by <br />dinil^ dutii in order for’your application to be considered completes <br />the application <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 />Plat Map (obtained with property owners list). <br />Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as requirea (provide one (1) copy 8%"xll" for <br />reproduction) • <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8J5"xll"). <br />6. Sketches or plans cc floor & elevation views (provide 1 copy 8%"xll”). <br />As an addendum to this applicationr 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 />L The Applicant and Property Owner must sign this application. Plec.se <br />r..VI ^ <br />remonber that vour variance application is not complete if the above <br />information has not been included. <br />1 <br />AVTLXCABT*S SZ6RATDRE <br />The applicant hereby agrees to provide all information required or <br />It.- <br />time not covered by original fee payment) and/or consultant expenses <br />incurred in review of this application, >^nd certifies that the inform •*on <br />supplied is true and correq^<?to/the b^-^r g/ his/her knowledge <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />►f <br />Applicant's Signature Date <br /><;r • ,S SI6MAT0RB <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 />>1" <br />flOwner's Signature Date <br />" Applicant must have all submittals into the City offices 25 days before the <br />Plar Ing Commission Meeting. Pleuining Commission Meetings are held on the <br />third Monday of each month. J^plicants must be present at all scheduled <br />review meetings of the Planning Canaissiem 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 />rvUifS' <br />V <br />V- <br />.....