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lipmn■ '".s' ■ . ■•■ *■B <br />■IQI <br />All <br />(attach additional sheets if necessary)IXIUED SUBMITTALS <br />of tho following information must be submitted by the application <br />■■■ - ________-f ___________ a '____ _______________________________• <br />dlino <br />onplotcd Application Form <br />rtifiod Property Owners List of owners within 150' (you must obtain <br />list from Hennepin County Department of Finance A-603 Govt Center <br />8-3271). <br />at Map (obtained with property owners list). <br />rtificate of survey (signed by a licensed surveyor) to include <br />rdcover calculations as required (provide one (1) copy S^^xll" for <br />reproduction). <br />Topographic survey (existing and proposed elevations) if any changes <br />in ejcisting grade are proposed (provide one copy 8*j"xll"). <br />§• \y^SIcetchea or plana of floor & elevation views (provide 1 copy 8%"xll'*). <br />an addendum to this application, please attach a r:eparate list of <br />any other persons you wish notified of this application. <br />8> Additional items as may be requested by City staff. <br />9. <br />She Applicant and Property Owner must sign this application. Please <br />feoieedber that your variance application is not conplete if the above <br />iafoi»etioa hae not been incl«|ed. <br />AmxcAar*8 szgbatdiue <br />She applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />tiine not covered by original fee payment) and/or consultant expenses <br />ihcorred in review of this application, and certifies that the information <br />ifllppliad is true and correct to the best of his/her k.io\*ledge. <br />0 ^ P <br />Applicant's Signature ^ <br />If <br />Date G 3-7 <br />' <br />______SIGHASimi <br />fhe owner hereby ac)cowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />ageatSr Caaad.ssion members, and Council m<»ibers for purposes of investiga­ <br />tion and verification of this request. <br />T'lv.iG-'V-v-l,Oimer's Signature Date ‘-3 - f <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning ConoBission Meeting. Planning Conmission Meetings are held on the <br />third Monday of each month. Applicants most be present at all scheduled <br />aoetinf^ of the Planning Coasilssiaci and Council. If an applicant is <br />_ _ _ to attend a scheduled meeting, please make arrangements to have an <br />Mthoriaod agent attend in your place and to advise the Building * Zoning <br />Odfics of this change prior to the meeting. <br />ffi-v <br />- .r-:.