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1 <br />PRESENT USE OF PROPERTY <br />Present Zoninej District <br />Present Use of Property <br />Other .(specify) <br />DESCRIPTION OF REQUEST <br />Describe <br />P-e <br />//if? s Jt erf / / /1 e <br />request in detail: ^ 4-fill u//j^a. n r <br />?■ S i/.'/^ ^ ij ~6./f~'Y i ft ^ ^ <br />« T~h^ <br />f‘ y/i I >• <br />r 5 ^ ^ ^ ^ V <br />Tsf fc~^- <br />r T/ <br />.* '^(1 A <br />fC/f / i <br />u^y^e! <br />____________ _____Jjj^y€.. <br />: ^ •'P'/y r^*-'iy i <br />Pc> f \ ’f' ty^c'StCfi <br />A/ac }c "t ^ ^/C/.e> {/<fj e^'i Ijf' ti /c<-^ i'<p Po <br />REQUIRED SUBMITTALS <br />1. Completed Application Form, <br />2. Certif i ed Property Owners List of owners within 350 ’ (you can obtain this list <br />from 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 />Nil# <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 apolicant hereby agrees to provide all information required or requested by <br />the Zoning Administrator, agrees topayall fees and/or unusual expenses incurred <br />in review of this application, and certifies that tne information supplied is true <br />and correct to the best of his/her knowledge. <br />Applicant's signature Date <br />OWNERS SIGNATURE <br />The ownf'.i hereby licknowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agent.s, '■.tinnissicn members, and Council members for purposes of investigation <br />and verification of this request. <br />Owr?r’s signature Date <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commi ssion Meeting. Planning Commission Meetings are held on the third <br />Monday of each month. <br />* <br />I <br />I