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ENT USE OF PROPERTY <br />Prerent Zoning District <br />Present Use.of P,r<^ptrty Residential <br />Other (specify) <br />RIPTION OF REQUEST <br />- -r r Ur ')c //V/ <br />' '- - " -. V <br />Describe request in detail: <br />'PrxJa yrr. <br />IRED SUBMITTALS <br />Completed Application Form. <br />Certified 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 />Stamped, legal sized envelopes (110) pre-addressed to each of the names on the <br />above list with no return address. <br />Certificate of survey. <br />Construction plans, if applicable. <br />Plat Map. <br />ICANT'S SIGNATURE <br />pplicant hereby agrees to provide all information required or requested by <br />oni ng Admin i s t r a tor, agrees to pa yall f ees and/or unusual expenses incurred <br />view of this application, and certifies that the information supplied is true <br />correct to the best of his/her Icnowledge.. <br />pplicant and Property Owner must sign this application. Please remember <br />your application is not complete if the above information has not been <br />uded. <br />leant's signature / /( <br />IS SIGNATURE <br />Date <br />owner hereby acknowledges and agrees to this application and further <br />irizes reasonable entry onto the property by City staff, consultants, <br />-S, commission members, and Council members for purposes of investigation <br />verification of this request. <br />'"s signature ^Date ^ /9 ^i <br />cant mu.st have all submittals into the City offices 25 days; before the <br />■-■ing Commi ssion Meeting. Planning Commission Meetings are held on the third <br />y of each month. _ _ <br />-.-a <br />i <br />i <br />( <br />■i