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(attach additional sheets if necessary)lUlQOIRXD SUBMITTALS ^ ^ <br />Qf folloiH"o Inforaaliiop lust be aobnitted by the application <br />|ii order for yoar application to ba considered conpletet <br />1. <br />2. <br />Complatad Application Form <br />i > <br />k- <br />iiv <br />-: I -'■V^V <br />ikvv;''3 <br />1> <br />!»’ <br />Cartifiad Proparty Owners List of owners within 150' (you must obtain <br />this list from Hennepin County Department of Finance A-603 Govt Center <br />34t-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*i"xll" for <br />$• <br />reproduction)• <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8>j"xll''). <br /><« Sketches or plans of floor t elevation views (provide 1 copy 8%**xll"). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />•*Additional items as ray be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />rssisad>er that voor variance application is not complete if the above <br />Ima not been incloded. <br />A»niXCAIIT*S 816MATUKB <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />not covered by original fee payment) and/or consultant expenses <br />incurred in review of this application, and certifies that the information <br />aopplled is true and cox^se^F to the best/tof his/her knowledge. <br />Applicant's Signatur Date r/^ <br />______SI6MATDIIB <br />The owner hereby ackowledges and agrees to this application and further <br />authorises reasonable entry onto the property by City staff, consultants# <br />egonta# Cossalssion nesd>ers# and Council p^bbers for purposes of investiga- <br />tioil and verificationc33iS^his requ< <br />OWher's Signature Date <br />A(hpii6ant must have all sufmilteals into the City offices 25 days before the <br />Planning Coamiiasion Meeting. Planning Coseiission Meetings are held on the <br />Bllird Monday of each month.* Applicants aumt be present at all scheduled <br />tdlPieif meetings of the Planning Cemwission and Council. If an applicant is <br />MMSble to attend a scheduled meeting# please make arrangements to have an <br />authorised agent attend in your place and to advise the Building s Zoning <br />Ctffice of this change prior to the meeting. <br />s ■ V"e