Variance Application
<br /> ABUTTING LAKESHORE PROPERTY WNERS: ;� �
<br /> North o Wesf:; � P t� � r ,�,. r C'� , ' , � �-� I�ci O��NU� ,7►rJ 5`�,3�� 1
<br /> �_---
<br /> Name and mailing address)
<br /> _�---,
<br /> SOUtrI O�East� �(�h �i DP r- ��)�J + v Pc�c=r�i'K S�- C.�►-i.'�1C� /VIN c�c� �(��
<br /> (Name and mailing address)
<br /> Other affected parties (attach sheet if necessary):
<br /> (Name and mailing address)
<br /> Please submit names and mailing addresses of owners within a 350-foot radius of the
<br /> property. Such owners must be verified by checking with the Hennepin County Auditors Office,
<br /> (612) 348-5910 (or a private abstract company) which can provide actual mailing labels at a
<br /> cost of$1.25 per tax parcel (minimum of$25.00). This service usually takes two days, and
<br /> you must have your tax parcel identification number (PIN) ready when calling for this
<br /> assistance.
<br /> Documents listed below are required; check that they are attached:
<br /> ❑ Locator Map (U.S.G.S area map with scale, North direction, Site clearly marked,
<br /> Name or Title, LMCD Area Name, LMCD number)
<br /> � County Plat Map (Site clearly marked, Name, LMCD area name, LMCD number)
<br /> ❑ Certified Land Survey (Legal description, Name, LMCD area name, LMCD
<br /> number, 929.4 N.G.V.D. shoreline)
<br /> ❑ Proposed facility site plan (to scale, 929.4' N.G.V.D. shoreline, LMCD area name,
<br /> LMCD number, Scale, North direction, affected neighbors, locate setback area,
<br /> locate dock use area, location of dock structure with dimensions and slip numbers,
<br /> indicate type of slip if applicable)
<br /> ❑ Existing facility site plan, if applicable (to scale, 929.4' N.G.V.D. shoreline, LMCD
<br /> area name, LMCD number, Scale, North direction, affected neighbors, locate
<br /> setback area, locate dock use area, location of dock structure with dimensions and
<br /> slip numbers, indicate type of slip if applicable)
<br /> ❑ Scaled drawing of docks on abutting properties, and other affected dockage
<br /> Absence of significant data requested above could result in a processing delay.
<br /> FEE CALCULATION
<br /> APPLICATION FEE..............(non-refundable).........................................$250.00
<br /> DEPOSIT............................. (refundable, upon full compliance
<br /> with the Code and extent of
<br /> administrative, inspection and
<br /> legal service required).................................+ l; ,_' �� � � ���'I '� ��
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