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PRESENT USE OF PROPERTY <br />Present Zoning District __ _ _ _ _ _ _ _ _ _: <br />Present Use of Property J Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: "/d oj^i, - - <br />77c/ 4 ^ ? I i i "•4 l^A It <br />V^r <br />j. . REQUIRED SUBMITTALS <br />1. <br />2. <br />Completed Application Form. <br />3. <br />Certified Property Owners List of owners within 350' (you can obtain this <br />from Hennepin County Department of Finan(^^-60^^^er^ment Center 348-32 /1 ) <br />Stamped, legal sized envelopes (HO) pre-addressed to each of the names on the <br />above list with no return address, <br />4. Certificate of survey. TJX <br />5. Construction plans, if applicable. 72^ <br />Plat Map. CCCXAc7>uyJ’6. <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 Zoning Administrator, agrees to pay all fees and/or unusual expenses incurre <br />in review of this application, and certifies that the information supplied is true <br />and correct to the best of his/her )<nowledgc. <br />Applicant's signature <br />OWNERS SIGNATURE <br />V<1 -- > R 1'.Date <br />The owner hereby ac)cnowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agent.3, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />Owner's siqnature«v‘^/, / iXC/i/n Date <br />Applicant must have all submittals into the City offices 25 days <br />Planning Comnrission Meeting. Planning Commission Meetings are held on the third <br />Monday of each month <br />i; <br />j ■ <br />I 1 <br />t <br />!