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{ <br /> . , J <br /> . Variance Application <br /> ABUTTING LAKES O E P OP�R Y O�111 S: ' <br /> North or West• " <br /> S 1 V -� � OY �t�. <br /> (Name and ailing address) � Gt��� �')') S�3° 1 <br /> � (j <br /> South or East: Qh.Q, � Q(� ��pT��YP �!/�'I u� <br /> (N me and m ' g address) ���,-tw m�! ��r 1 <br /> i <br /> Other affected parties (attach sheet if necessary): <br /> �, .�.�,�.s� '►'�� ,�ui.p �. <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) 348-59'i 0 (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 caliing 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 witti 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, Scaie, 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 signi�cant data requested above could result in a processing delay. <br /> FEE CALCULATION <br /> APPLICATION FEE..............(non-refundable <br /> ).........................................$250.00 <br /> DEPOSIT............................. (refundable, upon full compliance <br /> with the Code and extent of <br /> administrative, inspection and <br /> legal service required).................................+$2�p�n <br /> ,� rrn � � =�► <br /> j� �;' <br /> , JUN 0 5 2002 !- ��� <br /> Page 2 of 3 �" L'� <br /> �Y .._..- __._ t <br />