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(attach additional sheets if necessary) RED SUBMITTALS REQIII All of the followinginformation must be submitted b the application deadline date in order for our -apVlication to be considered c lete: 1. /Completed Application Form 2. Certified Property Owners List of owners within 150' (you must obtain this list from Hennepin County Department of Finan a A-603 Govt Center 348--3271) . 3. x 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 811"xll" for reproduction). 5. Topographic survey (existing and proposed elevations) if any changes in existing grade are proposed (provide one copy 8;1"xll"). 6. Sketches or plans of floor & elevation views (provide 1 copy 83j"x1l"). 7. As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. 8. Additional items as may be requested by City staff. The Applicant remember that I information has and Property Owner our variance appli not been included. must sign this application. cation is not ccmplete if t Please --------------------------------------------------------------------------- APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or consultant expenses incurred in review of this application, and certifies that the information supplied is true and correct to the best of his/her knowledge. Applicant's SignatureM4 �, 6' � Date3" a `� OWNERS SIGNATURE The owner hereby ackowledges and agrees to this application and further operty by City staff, consultants, agents, Commission members, and Council members for purposes of investiga- tion and verification of this request. ,,� _as-9-�- Owner's Signatures Date -j Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the Wjwd 4onday of each month. Applicants must be present at all scheduled , h PlanningCcmmissiow" ` unci1. If an applicant is unable to attend" aeduled meeting, please make arrangements to have an authorized agent attend in your place and to advise the Building & Zoning Office of this change prior to the meeting.