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;p-t <br />rRKSF:NT u*;i: of froperty <br />Present Zonirui District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTAI.S <br />Completed Application Form. <br />2.Certified Property Owners List of owners within 350' (you can obtain this list <br />f rom Hennepin County Department of Finance A-603 Government Center 348-3271 ) <br />3.Stamped, legal sized envelopes (#10 ) pre-addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. <br />5. Construction plans, if applicable. <br />6. Plat Map. <br />The Applicant and Property Owner must sign this application. Please remember <br />that your application is not complete if the above information has not been <br />included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by <br />the Zoni ng Admi nistrator , agrees t o pay a 11 fees and/or unusual expenses incurred <br />in review of t h i s appl i cation, and certifies that t he i n format ion suppl ied is true <br />and correct to the best of his/^*r knowledge. <br />Applicant's signature y _ ___ _ _ _ _ _ _ _ _ _Dat“ // / { <br />OWNERS SIGNATURE <br />The owner hereby ackiicwledgcs and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />e *7 A ■»Owner's signature ' \ ■ - I Date <br />Applicant must )iave all submittals into the City offices 25 days before the <br />P] ann i ng Comm i i on M* <t i ng . Plami i ng Commi ssi on .’Meetings are held on the third <br />Monday of cacli montli.