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“c: <w.w*« W/nnuuT09:iV24/':(attach additional sheets if necessary)required submittals ^ -I • 4.* „^ . . - . , - -jjg giihmi tted by the applxcationAll of the following information mustdeadline date in order for your lication to be considered complete1. Completed Application Form ^ .2 Certified Property Owners List of owners within 150 (you must obtain* this list from Hennepin County Department of Finance A-603 Govt Center348-3271).3. Plat Map (obtained with property owners list). . , ^4. -----Certificate of survey (signed by a licensed surveyor) to include‘----hardcover calculations as required (provide one (1) copy 8%"xll'’ for <br />reproduction). . , u <br />5. Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8%'’xll ). <br />6. Slcetches or plans of floor s elevation views (provide 1 copy 8^5 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 />8. Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please <br />remember that vour variance application is not complete—if—the—abo^ <br />information has not been included. <br />APPLICANT'S SIGNATURE <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^f’ee payment) and/or consultant expenses <br />incurred in review of thia/i^ij^^ion, and certifies that the information <br />supplied is true and coriject/best of his/her Icnowledge. <br />Applicant’s Signature Date 7- Z4 -7 <br />OWNERS SIGNATURE <br />The owner hereby aclcowledges and agrees to this application and further <br />auth'>rizes reasonable entry onto the property by City staf , consu a <br />agents. Commission members, and Council members for purposes of investiga­ <br />tion and verification of this request. <br />Date <br />rty <br />Owner's Signature_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ __— <br />re/iew meetings of the Planning Connaission and Council. If an applicant <br />unable to attend a scheduled meeting, please make <br />authorized agent attend in your place and to advise the ui g <br />Office of this change prior to the meeting.