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.;•■(attach additional sheets if necessary)naaiMMD SOBHITTALSAll of tha folloirinQ inforaatlon aost be sttbiaitted by the application <br />dato in order for your application to be considerctd ccniplete <br />Ccxnpletad Application Form <br />“certified Property Owners List of owners within 150* (you must obtain <br />\~thl8 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 8%"xll" for <br />reproduction). <br />Topographic survey (existing and propor.ed elevations) if any changes <br />in existing grade are proposed (provide one copy Sh^xll"). <br />Sketches or plans of floor & elevation views (provide 1 copy BH^xll**). <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 f f <br />ih <br />w <br />The Applicant and Property Owner must sign this application. Please <br />r«nember that your variance application is not complete if the <br />lafonMtion liee not been included. <br />APFLICAMT'S SI6HATDRB <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees tc 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 be^^ of his/her )cnowledge. <br />Applicant's Signature <br />rect to the be^ of <br />Date JtZ /ff%/ <br />OW— SIGHATPAB <br />The owner hereby ackowledges and agrees tc this applicatio.i . 1 further <br />authorises reasonable entry onto the property oy city staff# .'insultants, <br />agents, commission members, and Council members ror purposes of investiga­ <br />tion and verification ofr^his jsacueat. <br />Oimer's Signature Date /rfi^ <br />Applicant must havu all submittals into the City offices 25 days before the <br />Flanaing Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month.* Applicants must be present at ell aebedulmd <br />iMetimgs oif the Planning Commission and Council. If an applicant is <br />unsble to attend a scheduled meeting, please make arrangements to have en <br />authorised agent attend in your piece and to advise the Building % Zoning <br />Office of this change prior to the meeting. <br />i <br />I