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� a r L <br /> Oct-OZ-2006 09:37am Fraa-CITY OF ORONO t9522494G16 T_ggp dre,����CC�gep�a-12/11/06 <br /> FiTe"# 4/3 [jo I Pages 94J <br /> REGlUlR�!] �Uf�MITTALS: � <br /> AIt of'l'he foAowinc� inforrn��iQn must be submitted by khe ��plication deadiin� dafie in order far your <br /> applicaiian to �e �roces�ed. <br /> ❑ Pr�-Application Me��ing Form, compietE�cl by � City Plann�r. <br /> CI Completed Appiication �r��rn <br /> � Cornpieted Hardship Docurr�entafiiot� Form � <br /> Certified Prop�rt�r dwner� �ist—awners within 150' ofi the subjeat prop�rly, labels and pl�t map. <br /> �ist, (abels and ma� may b� obtain�d frC�m Hent�epin Caunty I7�parlrrtient of Fin�nce, <br /> GovernmPnt C�nter, A-G03 30d �auth 6th Skreet, Minne�pc�Iis, t�laphone f�1�-34 ;;,59`0�.� <br /> Q Origin�l C�rtific�l� of �urvPy (Uigned by a lic�ns�d surveyor), meeting a I t e rPquirements <br /> listed within this packet, incluc{ing f��rdcover calculatians. Alsa �rovide onE copy 8.5" x 'I 1" or <br /> 1'I"x 17"far reproduction. <br /> ❑ Complet�d hardcover calculatian worksh��ts (as provi�ed witftin the varianc� �i�ckef). <br /> ❑ `fopographlc su�vey — incfuding existing and propc�s�d elevati¢n�, �nd prnpo:;ed gradin� and <br /> drainage: *�or lakeshor� praperties the contours should k�� shown �xtending �0' intn tho <br /> adjac�nt properties, Provide one cc�py 8.5" x �1" or �'("x 17" far reprod�ction. <br /> O Skotches or pl�ns of ffoor and �I�:vation vi�w� (pravide r�ne copy 6,5" x 11"or ��"x 17"). <br /> f1 Additi�nal itEms may be roqucsted by City StafF dep��ding on the scQpe of th� prQject. "' <br /> APt'�-ICANT'S ACKNOVI/LEDGEMENT: <br /> 7he applicanfi hereby agrees to pr�vide �II (t�formation required ar requested by the Planning <br /> De�artment, agre�s to pay additianal fe�s �sfia�ff time not cpvered in the origit'ial fee p�yrnent) and/or <br /> con�ul�an� expenses incurrPd in review of this �ppiic�lion and c�rkifies th�t the infiorm�tlon su��lied is <br /> firu� and earrect ta fihe best of his/her knc�wledg�. The applic�nt recagnizes thax helshe is solely <br /> responsibte for subrrt�'kxing a com�l�te applicatiort being awar� tltat upott failuee tca do so, the <br /> s#��f ha� no aliernative but to rej�ct it unfiil it is camplete or tc► recomm�nd the request for <br /> der�ial af th� request r� ,�� ' s ial me ' . � , , <br /> � d <br /> APPlicant's Sign fure: . . �' • Date: —/r -'�" .�'- <br /> Ap�licant's Signature; ��t�� � � <br /> v . • <br /> QINNER'S AGKNOWI��D��1111ENT: � � , � <br /> The owner hereby acknawl�dges and agrees fio this apr�lication and furkh�r authorizas reasonable <br /> entry anfio the prop�rty by City �taff, consultants; ag�nts, Commissiqn & Co�lilcil M�mb�rs for <br /> purposes af investig�fiian anc! verificafiic►n of this reque . <br /> Owner's Signai�re: .K-.- r'� � Dat�: /�'-�'��'�' °°� <br /> �� �OwnEr's �ignafiure: 1► �-, �z D�t�; � .� O <br /> �� . . . . <br /> f�pplicant must have all su�mlttals inta the City affiaes 25.days befar� the Rlanning_Garllmis�ion <br /> M�eting. f'lanning Commis$ion M��tinc�s dr� norrr��lly held on the thlyd Monday of each month. <br /> Ap}�Iican�ts must pe pr�sent �t all sch�dufed revievv me�xing� �►fi the Plan�ing Commissian�an�l <br /> Gc�uncil. If ��1,applicant ia unable to attend a scf�edulec� m�eting� please makr-; arrangements tn <br /> have:an authoriz�d r�presentative atLend in �I�ce of �h� applicant and ac�vise the Cil•y Flanner <br /> �ssigned t� your prajer.,t•, , • � <br /> �y • ;�l?r� ..'K� ��`�'F�'�,�'" <br /> A7e�n '� ``,••i � ' �f' � �''hj^: . . � . <br /> Y• /• �C� <br /> ,� tG ..=v.., , ' � i � �G1.x.Cr� <br /> . •:�� ����/ � .. . . <br /> OCT 02,2006 09:96 +9522494G16 Page 5 <br />