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VARIANCE required - extent of nonconformity <br />_ Lot Area _ _ Setback Front Side Rear <br />Width Other, explain .__ <br />Specify har0ships to property T/,4-A�aCE I-- <br />SUBDIVISION application X Residential Other, explain <br />n <br />No. of Lots L, <br />CONDITIONAL 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 <br />2. Plat map action <br />3. /Certificate of survey of property <br />sketch location and setbacks of <br />proposal <br />4. Construction plans, if applicable <br />D( - ! Applicant's <br />ATE <br />DATE l -1. / -3 / _ <br />5. Certified Property Owner's list of <br />owners within (300') ice)- from <br />Hennepin Co. Dept. of Finance <br />A-603 Government Center <br />6. Stamped, legal d envelopes(#10) <br />pre-addrtssed ejC of the names <br />on e abo ist / <br />Signatur <br />Owner's Signature , 4176 ,4 <br />Applicant hereby agrees 'o provide all information required 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 />5/78 <br />