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Uc�^uc-cuuo ua:�ram rrum-�iir ur urcuivu � ta��zaaaaiti . i—aaz r.uub/UU9 h-6UU <br /> �Ef�,l.11R�17 �Uf�M1TTALS: <br /> Aii of'l'h� fo(lowinc� iri�fc�rrn�tiQn rnust bs submitt�d by tf�e �pplicatic�n cle�dlin� date ir7 �rder for your <br /> applicatipn ta bc� processed. _ <br /> � ❑ �'r�-l�pplicati�n M�e�kin� Form, completEd b.y a City Planner. <br /> ❑ Completed Appliaation �c�rm � - <br /> Cornpleted Hardship D�c�.irnentation Form <br /> C:�rtified Propr-.:rty awners I_ist–owners within 1 a0' ofi th� subject pro��rly, I�bels and �I�t map. <br /> List, (a�els anr� m�(� may be e,bt�lned from Hennepin County peparLrr�ent of Finance, <br /> GavernmPnt C�nter, A-603 �QO �OUtiM 6ih S�CB�f, Minneapc�li�, telephone �12-34 �fi9�0�• <br /> Q Oriflinal C�rtific�t� of SurvPy (uign�d by a lic�ns�d �unreyQr), mesting a I �t e re�"rem�nts <br /> listed within this p�chct, inr,luclin� Y��rdcover c�lcu(�tions. A{so �ravide one c�py 8.� x �1 or <br /> 11"x 17"far r�productian. <br /> ❑ Complet�d hardaover ca)culati�,n worksh��ts (�a provid�d witt7in th� vari�nc� �a�cket). <br /> ❑ Tapographlc �urvey — including existinc,�. �r�d p►'opas�d elevatic�ns, �nci prapo��d gradin� �nc� <br /> drainag�. *��or I�keshor� properti�s the contours should b� shnwn �xter�ding aQ' inta the <br /> adjac�:nt prQ��rties, Provicl� on� c�py 8.�"x 11" nr� �'i"x 17"for reproduction. <br /> f� Skatches or pl�ns of fifoor and �I�:vation vi�w� (provide an� co�y 8,5" x 11" or 1�° x 17"). <br /> !�1 Additianal it�ms may be r�quest�d by Cify Staff d�p�nding on lhe scope of th� project. * . <br /> API��.tCANT'S ACKN01�1IL�DG�MEN�': <br /> 1"he applicant hereby agrees to prpvlde �II i��form�tion requir�d or t'�quested by ihe Pl�nning <br /> D��artment, a�rees tn p�y addilic�nal fe�s (sta•ff fiim� not covered in the origiti�l fee p�y►'ri�nt) anc�/ar <br /> con�ultank expanses incurred in r�view of this �pplic�tioll and c�rkifiss th�t the infiorm�tlan su�nlied fs <br /> tru� and carrect tq the b�st of hislher knpwl�dg�. Ttte applic�nt recc►gnizes tF1a1: he/she +s solely <br /> res�onsibte for subrrrltting � com�alete applicatiorti b�ing awar� tf�a� upon failure t�► do so, the <br /> st��f ha� no.aliernative but to raj��t it +�nfiil it is complete or td recommend the request for <br /> denial of th� requ�st r � �+��-e ' s ial rne " , ' � . <br /> '' ' � ' . ..,�,rad.�'. <br /> Applicant's �ign fure; . � , - _ • Date: �–/ <br /> Applicant's Signature; C�ate: � C� <br /> QINNER'S ACKNOWL�EDGERltENT: ' � � � <br /> The nwn�r h�refay acknowl�dges and agrees fio tflis application and fur�h�r authoriz�s reasonable <br /> entry c�nto the �roperty by City Staff, consul�t�nts, ag�nts, Con�missic�n & CoUrlcil Members for <br /> purpd�es of investigation ancl verificaiibn of this recau� . <br /> Owner's Signaitre: �� r'�� pat�: �'�-�9�' °�',6 <br /> Own�r's �ignature: ' ` � a���; �'' � " <br /> t • �'—r' <br /> �pplicant must h�va all submittals inta the City a�fi��s 25:ci�ys befor� �:he Rlanning...4'o111mis�ion <br /> M�eting. f'lanning C�mmission M��tinc�s �te norrnal�y h�lc� an the third Monday of �ach month. <br /> Applicants must be pr�sent �t a(I s�h�duled r�vievir mectings af thc� F�lanning Commission��an�i <br /> Cnuncil. If �r�.applicant is un�bl�, t� �ttend a scheduled meoting, please rnakr; arr�ngernen�ks to <br /> hav��:�n authoriz�d r�►�r�senta�ive atlend in pl�ce o�f the �pplicant and �c�vis� th� Cily Plann�r <br /> assignecl 1;� yc�ur projert�, , • . <br /> �, .;�R, !'•"`�''.'. ,�``""'h� �-�'"� <br /> � -l;'l , �.. ! ~ ... ,� s=� ,)� <br /> �:,� ttr " . . 'b.Nr,cQ <br /> . ([/ �'�c,..*.'�,•/ F• .. . � . . <br /> OCT 02,2006 09:96 +9522494G16 Page 5 <br /> i <br />