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,PRBS1^T USE OP PROPERTY <br />Present Zoning District 1? <br />Present Use of Property <br />geo. so HA I • ■'. 1 <br />t • I <br />/•»» <br />Residential <br />Other (specify)_ <br />DESCRIPTION OF REQUEST ^ , 4. L‘ r - <br />Describe request in detail: feailA p.g.'^u^atA-^v«T <zAu/t^—~S‘r j <br />■f »f tfuv .^<0 eyisfivid <Tau^ in T^U e ■5‘ot<1~U —2.: <br />2. <br />REQUIRED SUBMITTALS <br />Certif ied Ip^iToV^^ Owners List of owners within 350' (you can <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271). <br />Plat Map. , . ^ tCertificate of survey (signed by a licensed surveyor). land <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 1 <br />any other persons you wish notified o.. this application. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF lARCT DOCUMENT <br />A WORKING COPY (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SOBMI <br />■ <br />The applicant and Property Owner must sign this <br />remember that your application is not complete if the above information has <br />not been included. <br />Certiflcatlon’by Clerical Department that Land Use Application Is complete. <br />Initials of Clerical Staff:- - - - -- - - - - - - - - - - -“*^®—_ _ _ _ _ _ _ _ <br />“HSr vSi r <br />in review of this application, and certifies <br />is true and correct to the best of his/her Jcnowledge <br />:ure - - - - - - -_Applicant's signatu: <br />OWNERS SIGNATURE ^ . n„«4-.«nand furtherThe owner hereby acknowledges and agrees to this ®PP^^jL\^ <br />authorized reasonable entry o»to the property ^y“'j3»Vor%u "poser of <br />agents, commi.ssion members, and Council memoers t Ft' <br />investigation and verification of this request. , <br />Date <br />Owner's signature <br />Applicant must have ail submittals into the City the <br />third Monday of each month. _ Applicants must V <br />review meetings of the Planning Corsnlssion _and 5f“n-=f3-„ff.«unable to attend a scheduled meeting, please make arrangements^ to^ have^^ an <br />authorized agent attend in your place and advise the Building S Zoning <br />Office of this change prior to the meeting.