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REQUIRED SUBMITTALS: All of the following information must be submitted by the application deadline date in order for your application to be processed. □ Pre-Application Meeting Form, completed by a City Planner .. □ Completed Application Form □ Completed Hardship Documentation Form □ Certified Property Owners List -owners within 150' of the subject property, labels ahd plat map. List, labels and map may be obtained from Hennepin County Department of Finance, Government Center, A-603 300 South 6 th Street, Minneapolis, telephone 612-348-5910 □ Original Certificate of Survey (signed by a licensed surveyor), meeting all the requirements listed within this packet, including hardcover calculations. Also provide one copy 8.5'' x 11" or 11" x 17'' for reproduction. □ Completed hardcover calculation worksheets (as provided within the variance packet). □ Topographic survey -including existing and proposed elevations. Provide one copy 8.'5" x 11" or 11" x 17" for reproduction. □ Sketch.es or plans of floor and elevation views (provide one copy 8.5" x 11" or 11" x 17"). □ Additional items may be requested by City Staff depending on the scope of the project.* APPLICANT 7 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 ';ffl~-lication being aware that upon failure to do so, the staff has no alternative but to reje ~ 1unt I it io/J:omplete or to recommend the request for denial of the request regardless of~ , :~~ -ti:~-merit. I ~ Applicant's S!gnature: ---.;;;,----...,-7 /_, _,._,.,-:....,,&..,I Date: 4 ;ze L' f Applicant's Signature: . Date: OWNER'S ACKNOWLEDGEMENT: The owner hereby acknowled~es and a~ees to this application an~ f~rther authori~es reasonable entry onto t~e pr?pe~y by City_ St-~. cpns~ltan s) agents, Comm1ssIon & Council Members for Purposes of 1nve~·t.1gat1on and venf1 1 n..,6f this r. ql'.iest. . ! Owner's Signatur::--~ .. -/ Date: LJ..[ }..Of O ,j- Owner's Signature: ________ ...,,_ ___ __,,__ ____ Date: Applicant must have all submittals into the City offi es 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. 'J:, ~~~>.L.Ji ;, ,.... . .. : ·~-0~:~~1.::l'Y ~\ t:-J .:{~\ f/~;X!)i