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REQUIRED SUBMITTAL$: All of the following information must be submitted by the application deadline date in order for your application to be processed. -ti/Pre-Application Meeting Form, completed by a City Planner. ';7 Pq/~4~:c~;~~"-c- •ff _ Completed Application Form ~ r,G:-~ ··· ~Ci-C'L-f / ~/ o~~ g __ _QQ__rnQl§te_dJ:lar:dshi.p_O.o.c.um.~nta!ion f__9.c_rn.._ ----------___________ .,_____________________ _ __________ _ rr·l· · Certified Property Owners List -owners within 150' of the subject property, labels and plafmap-.-_--..____ List, labels and map may be obtained from Hennepin County Department of Finance, \1 /Government Center, A-603 300 South 6 th Street, Minneapolis, telephone 64348-5910 _________ / El/ Original Certificate of Survey (signed by a licensed surveyor), meet1ng·a11 the requirements listed within this packet, including hardcover calculations. Also provide one copy 8.5" x 11" or : \ ✓p 1" x 17" for reproduction. if ./'. &st ~vCompleted hardcover calculation worksheets (as provided within the variance packet)._/;',4-( □ Topographic survey -including existing and proposed elevations. Provide one copy 8.5" x 11" or 11" x 17" for reproduction. ~/Sketches or plans of floor and elevation views (provide one copy 8.5" x 11" or 11" x 17''). LI Additional items may be requested by City Staff depending on the scope of the project. * APPLICANT'S ACKNOWLEDGEMENT: The applicant hereby agrees to provide all information required or requested by the Planning Department, agrees to pay additional fees (staff time not covered in the 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. The applicant recognizes that he/she is solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete or to recommend the request for denial of the request regardless of jts potential merit. Applicant:s Signature: (;'lg[,,,~~/ Applicants Signature: C/ \<":) ,{ /1//,Z,.,-A· -·· ;------>----------- ,, .-J L.---·· Date: Date: OWNER'S ACKNOWLEDGEMENT: The owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants, agents, Commission & Council Members for purposes of investigation and verificati_on of this request. C \ 'I • .• ~ C Owner1 s Signature: t(t,✓\__ / e,{L)!J-~ Date: Owner's Signature: Q hr~.=-;, ~/--------------------------------·-nate: / (_./" / i' ~11 ,.-; -./) l---l :_,t ;I) V I Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are normally held on the third Monday of each month. Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized representative attend in place of the applicant and advise the City Planner assigned to your project.