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REQUIRED SUBMITTALS _1. 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-6C3 Gcvt Center <br />348-3271). <br />Plat Map vObtained with property owners list). <br />Certificate of survey (signed by a licensed surveyor) to include <br />hardcover calculations as required (provide one (1) copy 0‘j"xll" for <br />reproduction). <br />Topographic survey (existing and proposed elevations) if any changes <br />in existing grade are proposed (provide one copy 8ij"xll"). ■^.a <br />Sketches ot plans of floor & elevation views (provide 1 copy 8H"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. <br />/2. <br />''3, <br />^4. <br />5. <br />7. <br />^8. <br />The Applicant and Property Owner must sign this application. Please <br />remember that voor v arian ce application is not complete if the above <br />Infnrmatlnn a*yt been included. <br />AFFLZCAET'S SIOATURE <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 consultant expenses <br />incurred in review of this application, and certifies that the information <br />supplied is true and correct to the^best off his/her )cnowledge. <br />Applicant's Signature /Date / ./ <br />/omnns sigmatubb / <br />The owner hereby ackowledges and agrees to this application and further <br />authorises reasonable entry onto the property by City staff, consultants, <br />agents. Commission members,/ an<^Council members for purposes of investiga­ <br />tion and verification o^'^hisytequest. <br />Z/c/ /Jl-l ^ <br />Owner's Signature / ^ ^ ^/}Date <br />Applicant must have all Submittals into the City offices 25 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 scheduled <br />\ngs of the Planning Commission and Council. Xf an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and to advise the Building 4 Zoning <br />Office of this change prior to the meeting. <br />0f/^u <br />•'X .