Laserfiche WebLink
v��-uc—cuuo ua:oram rrum—�iir ur urcuiru tyn�z�y4�i� �—�bz N.uuSiuuy r—uuu " <br /> F,Et��)lR�p �U'�MITTALS: <br /> All of�he failowinc� informatiQn must bs submifit�d by khe �applicaticin cl��dline date ir7 c�rder far your <br /> appiic�tian to b� prc�ces�ed. <br /> p �'r���pplication Me�ting Form, compietecl by a City Planner. <br /> CI Com�leted Application �r�rm � . <br /> Completed Hardship Doct.irrientation Form <br /> U�rtified Prop�rty Owners I_ist—awner� within 1 a0' ofi the subject prop�rly, labels and plat map. <br /> List, (a�e1s �nd m�� may be obt�in�d frt�m Hennepin County peparlment b� FIII�CIC�, <br /> � GavernmPnt C�nter, A-603 3Q0 �outh 6th Street, Minne�pali�, telephone �12-34 -5�1Q. <br /> �1 Oripinal Ce�tific7t� of SurvPy (aigned by a lic�ns�d �urveyc�r), meeting a I �t e requirem�nts <br /> • listed within this packet, in�lucling h�rdaover c�lcul�tians. A{so provide one Gapy 8.S° x 11" or <br /> 11"x 17"fiar repra�uctian. <br /> ❑ Campleted hard�ov�r r,alcul�tion worksh��ts (�a provided witftin the vari�nce packet). <br /> ❑ `fopographlc suivey — lncfuding exi�ting and �ropc�s�d elevatians, �n�1 propo�Ed gradin� and <br /> drainag�. ���or lakeshot� �roperti�s the contours should b� shc�wn �xtending �0' inth thE <br /> adjac�nt prQ��rties, Provide ona c�py 8.�" x 11" nr �'I"x 17" for reprQdt�ction. <br /> � Sketches or pl�ns of fiioor and �l�vatior� vi�ws {�rovid� an� co�y 8,5" x 1�" or 1�°x 17"). <br /> 1� Additiunal itEms may be r�quest�d by City St�ff dep�nding on ihe scope bf th� praject. A , <br /> AP�'�.[CANT'�'ACKNUVNL�DG�MEN�': ' <br /> 7he applicant herehy agrees ta prqvfde all information requir�d or r�quested by the P��nning <br /> D���rtment, agre�s ta p�y additional fees (sta�ffi tim� not cc�vered in the oric�itial fee p�ym�nt) and/or <br /> con�ul�ant expertses incurrsd in revisw of this �pplic�tian and c�r�ifies th�t the inform�tion supplied is <br /> truE and carrect tp the best of his/h�r knUwledc,�'�. Th� applic�nt recagn�zes th�x helshe is solely <br /> responsible foC subrttii�ting a com�lete applicatior� being aware tE1at upor� failure t�► do so, the <br /> st��f ha� no.alfiernative but to rej��t it +anfiil it is camplet� or ta recomm�nd the request for <br /> d�nial of th� requ��t r� ��+�-� ' s ial rnE ' . � � , <br /> ,. . � � , �,��o,,�- <br /> Applicant's �ign ture: . • Qate: �/. <br /> Applicant's Signature; C�ate: f� o <br /> QINNER'S ACKNOWI�EDGEArIENT: � ' � � <br /> The oWner hereby �cknowl�dges and agt'ees fio tl�is ap�licafiion �nd fur�h�r authoriz�s reasorlable <br /> entry anto �khe �rop�rty by City �fiaff, consult�nts, ag�nts, Commissic�n & Cour�cil M�mbers for <br /> purpdses of investig�tion anca verificatic�n o�this r��ue . <br /> _,�-�' .�1'' -�-1l�"' C3!l�,�a <br /> Owner's Sic�natGre: � .�" pat�: �' <br /> Own�r's �ignatur�: ' � a���� �� , � <br /> f�pplicant must h�ve all submittals in�ta fihe City affi�es 25, days befor� �:he Rlanning_Gc�11'1mis�ioll <br /> M�eting. f'lanning Commission M�etinc�s �re normally h�lc� an the third Monday of �ach month, <br /> App(iaants must be pr�sent �t atl sch�duled r�vievir meetings of tha Planning Commission��anr� <br /> CounGil. I�F �n.applicant is unabl� tn �ttend a schec�uled rn�oting, please makr; arr�ngQm�nts to <br /> hav��:�n authoriz�d r�presentative attend in pl�ce of th� appliC�nt and advi�� tlie City Pl�nner <br /> assignecl t� yc�ur projeat�, , - • . <br /> -7(�1^�. �.�.w.K �L"� �. . . <br /> '�, � �. � ..�� �-.:^�� . <br /> ,� ,� <br /> �..:.. . �� ;=� � . <br /> tL'r '�a,tr,'� F• .. . � ' l L:Y� . <br /> OCT 02,2006 09:96 +9522494616 Page 5 <br />