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VARIANCE required - extent of nonconformity <br />Lo ea Setback Front Side Rear <br />Width Other, explain <br />Specify hardships Eb%jpoperty <br />v/ SUBDIVISION application ✓ Residential Other, explain <br />No. of Lots <br />CONDITIONkLL USE AND OTHER - explain proposed use of property in detail <br />MINIMUM MATERIAL NECESSARY FOR COMPLETE APPLICATION <br />(Must be submitted 10 days prior to Planning Commission meeting) <br />1. Application completed 5.X Certified Property Owner's list of <br />„'2. Plat map section owners within (300') (*W )- from <br />3. Certificate of survey of property Hennepin Co. Dept. of Finance <br />sketch location and setbacks of A-603 Government Center ?4'W 3 z-71 <br />proposal 6.- Stamped, legal sized envelopes(#10)i <br />4. 0 --plans, -f -applicable pre -addressed to each of the names <br />on the above lis . <br />DATE 1- 31-'l`1 Applicant's Signature <br />DATE Owner's Signature 4__.�.�° <br />Applicant hereby agrees to provide all information,_xequ•red or requested by <br />the Zoning Administrator, City Engineer, City Attorney, Planning Commission <br />and Council necessary to process this application and further agrees to pay <br />all fees as established by ordinance. <br />5/76 <br />