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PRESENT USE OF PROPERTY <br />Present Zoning District k pAmily <br />Present Use of Property _ _ _ _ <br />✓ Residential <br />Other (specif y ) Ccod>tu.n<\l ItSt. <br />DESCRIPTION OP REQUEST <br />Describe request in detail : CQN5TKUcro»^ OF A TWAC6P FOR UiE l>i <br />G<^0WINC PtfigMNIAL RjlWgJU Pf R.-R COftiA/igtCtAL < uC VAl^ni^ <br />,^L£<; Ap-Lvriy r^ro iHfe ekopB^rf ________________________________ <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <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 348-3271). UTM , Af)/WSmA(nQK <br />3. Plat Map. ' <br />4. Certificate of survey (signed by a licensed surveyor). <br />5. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />YOU ARB REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPY (11* 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 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 application, and certifies that the Information supplied <br />is true and correct to the, best of his/her )cnowledge. <br />Applicant's signature Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />Date <br />investigation and verification of this^request. <br />Owner's signature _'_ _ _ <br />Applicant must ha^^/'^I^^ submittals into the City offices 25 days before the <br />Planning 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 make 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.