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<br /> Variance Application
<br /> A,BUTTING ESHORE PROPERTY OWNERS: .,
<br /> North o . es +- �s ►D '3• �1�S�,^� (�r.�,,,�
<br /> (Name and ma' ng address)
<br /> South �r East __ (U1a.�-1L � �� H ,.,ee �,�, N`a� 5�++� Qr
<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 Hennepin County Auditors Offices,
<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 cleariy marked,
<br /> Name or Title, LMCD Area Name, LMCD number)
<br /> County Plat Map (Site cleariy 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 signifcant data requested above cou/d 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 /> (egal service required)..................:..............+$250.00
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<br /> Page 2 of3 �i I MAR � 3 2003 ���;'
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