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•-IT <br />m <br />(attach additional sheets if necessary) <br />HQ0I1SD SUBMITTALS <br />All o£ tb«_fo 1 loirina infotaation must be subad-ttcd by the application <br />d—dline date In order for your application to be considered ccMpletet <br />1. <br />2. <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-60:^ Govt Center <br />348-3271). <br />3. Plat Map (obtained with property o%mers 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 />S» Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy e^^xll”). <br />S. Sketches or plans of floor 4 elevation views (provide 1 copy eJi^xll"). <br />7. <br />8. <br />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 may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that vour variaace application is not complete if the <br />imfmrmation has mot been included. <br />AffLZCAMT*8 SX6MATURB <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 original fee payment; and/or con^-ultant 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 />Applicant's Signature <br />r]T0Cu to tn^ D0st or niS/ni <br />Date <br />ii- <br />ONHDUI SXGMATOKB <br />The cwner hereby ackowledges and agrees to this application and further <br />aothorises reasonable entry onto the property by City staff, consult-^nts, <br />agents. Commission m«nbers, and Council members for purposes of investiga- <br />5Vi <br />tion and verification .of this r <br />Omar's Signature lu UT. Lje Date <br />% <br />b!'- ‘ - <br />Applicant must have all sulxnittals into the City offices 2S 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 ecliedaled <br />reeiem meetings oC tbe Plamning Comniasion and Cooncil. If an applicant ia <br />unable to attend a scheduled meeting, please make arrang«Rents 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 />'fife <br />.- <br />■i