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PRESENT OSE OP PROPERTY <br />Present Zoning District <br />Present Use of Property X Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />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 348-3271). <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 />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR_ _ <br />A WORKING COPY (ll" X 17' OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date___- - - - - - -- <br />APPLICANT'S SIGNATURE ^ . <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administratorr agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this applicationp and certifies that the information supplied <br />is true and correct to the best op\ his/her knowledge. <br />Applicant's signature ^ Date 7jJ]J_/ <br />OUHRRS SI6HAT0RBThe owner hereby acJcnowledges and agrees to this application and further <br />/.".“LiraSS* louTcfl^ purp^^T of <br />investigation and verification of this request. <br />Owner's y X_ _ Date , ^ 0 <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are he f <br />third Monday of each month. Applicants must be present at al* j-.-.ieduied <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 & Zoning <br />Office of this change prior to the meeting.