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From: 09114/2005 13:15 #033 P.�S <br /> �...;�^: ,� •.r:,:�, ':� <br /> , . �:' ;.� °� `,� , <br /> . � (attach additiona]. sh s i� �i� asss�iry) '.::�.: � ._ � � �-�' <br /> � <br /> DIRED 3U�Mx�'T.AL3 ' . . '".:: .� � { <br /> AlY . of the following info=matioa mnst�be aubm.itted by the___anplirat3.on <br /> . �_�_ �—�,. .�,. <br /> dQadlin� date ia oraer for vour a,pri,lication to be con�idered ccm�letes <br /> .-......_ , .,.-......_. ..._..,. .�..�. - , <br /> 1. Go:apleted Appllcation Form ' <br /> ,� 2. Cartifi�d Praperty Owners List o£ owriers� w�thin �50' tyau must obtain <br /> this list from Hennepin County Department oi' Fl.nance A-603 Govt. Center <br /> 348-3271) . <br /> �� 3.�,_,Plat Map (obta3ned w�th� property owr�ers lie�). <br /> 4. Certificate of survey (�si.gned by a Iiaens�d �surveyor) ta inalude <br /> hazdcover calcul�tioas ae required (prbvide one (I) . copy 8�"x7.1" �or <br /> reproduction). <br /> 5.�opogzaphl.c $nrvey (existing and propose8 elevatS.ons? if Any ehaaqQs <br /> in exist3nq grade aXe pxop4sed (provide one eopy 8�"x�iN�. <br /> 6. Sketches or plana o� £loor a elevation views (provide 1 eopy 6�"x11"�. <br /> 7.,�Ae an aa�endum to �hia applicatioa, plea�se attach a mepaxate list of <br /> any other pereons you wish notified �of this applica�ion. <br /> 8. Addi�ior�al it�mm9 ns may be .requested by City staff: . <br /> The Applicant mnd Pxoperty Owner muat siqn thia application. Pleaae <br /> ram�mber that your variauace ar,aXicatiaa is not caa�lete i.f , .the 'ab�►e <br /> intotmstti�+u hms not bea�n iaclnded: <br /> ��r����rr���.....���rrrrw� ���.����w������������...�w�.�w.w�.��������r.irrw����.w���... � <br /> APPLI�2►NT'S SIGAATORB . <br /> The applicanfi hereby nqr�es to pzc�vide. aIl informativn required or <br /> , requeated�by Che Zo��ng Adminiatrator, xg:��es•-t _ ��--fees—(statf <br /> time not conered by . oriqinnl fee payment) a,n <br /> i�eu , an8 certifies that the in�armatien <br /> supplied is true ,and cor ct �o be�t of his/�er know�edqe. ' <br /> Applicant's Signature � Date �• i 2�1 � �- � 2�- <br /> dr�ts sicr�,�n�s � �'��� . � <br /> The o.wner, hereby ackowledges and aqrees to thig application aad furthez <br /> authorizea reasonable entry onto the property by City. staff, consul.tents. . <br /> agents, Commisaion member�, and Council m�mberg for purposes of investiga- <br /> tion and verificat�nn of this requeet. <br /> Owner's Siqnature See at�,ache copv Date <br /> �����r��������������w�w�w�.������r��r.�.����.�...�.rrr�r�rw�������.rr.�w.�����r�.����...�� <br /> Applicaat must have �l 1 sabmittgis in�o the City otfice� 25 days before the <br /> Planninq Commission Meeting. Planninq Ccunmtseion Mee�inqs are held on the <br /> th�.rd Monday of each month. App].icants mnst be present at all �chsdul�d <br /> r�view meetings of the Pl�nnfaq Ccm�mis�sion aad Covacil. Ig an applicant fs <br /> unable to attend a scheduled meQting, please make arra�ngements to have &n <br /> authorized ag�nt attand �n your p��ce and to advise the gu�lding � Zoninq <br /> Office of thia chanqe pr�or to tbe meetinq. <br />