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1' <br />raSSEMT OSB OP PROPBRTy <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify)i <br />DSSCRIPTZOH OP RBQ0B8T <br />Describe request in details X* tNUSw *n:> rt-x ^rs.-n <br />7^e<v<tfr ‘ TV4^T~ "X^ C<^fcgXvrg,*< app’iir.'s Tbg. <br />iiS.5:- Bw Tut- yvnooycimA _________ <br />Pe/>Pf^^rC< Fi»<p <br />3. <br />4. <br />5. <br />6. <br />7. <br />RBQUIRBD SDBNITTRLS <br />1. Completed Application Pom. <br />2. Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 346-3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). <br />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />TOO ABB RBQUIRBD TO SUPPLY 30 COPIBS OP LAR6B OOCUNBHTS OR <br />A IfORKXBG COPT (11* X 17* OR SNALLBR) POR ALL DOCUMBHTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />remember that your appl'^'^ation is not complete if the above infomatlon has <br />not been included. <br />Certification by Clerical Department that Land Use Application is cmplete. <br />Initials of Clerical Staff:._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date_ _ _ _ _ _ _ _ _ <br />APPLICABT'S SIGRATURB <br />The applicant hereby agrees to provide all i^^fermation required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this applies <br />is true and correct to ih <br />Applicant's signature <br />certifies that the <br />f )his/her )cnowled< <br />infomatlon supplied <br />Acr^e..c^f*u>i\ Date * <br />ONHBRS SIOATURB <br />The owner hereby acJcnowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission nm^nlferd^ and Council members for purposes of <br />investigation and vqr^figi^iipq of this request. <br />Owner's signature J j7 " V_ _ _ _ _ _ _ _ _ _ _ _ Date < ^ <br />Applicant must have all submittals into the City offices 25 days before the <br />Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please ma)ce arrangements to have an <br />authorized agent attend in your place and advise the Building i Zoning <br />Office of this change prior to the meeting.