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I <br />PRESKNT USK OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe requesjt in detail: vO CIA <br />- -^ CrVA._Kq-X^ . o /OQ'viy^^^ <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />2 . Cert if ied 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 ( ilO ) pre-addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. <br />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 Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied is true <br />and correct to the best of his/her )cnowledge. <br />Applicant's signature <br />OWNERS SIGNATURE <br />Date g/33./6S <br />The owner hereby acknowledges and agrees to this application and further <br />authorizes .-.reasonable entry onto the property by City staff, consultants, <br />agents# Jeommi'^s^ion members, and Council members for purposes of investigation <br />and verification *of this request/. <br />. . i.Owners sighaturie Date i <br />Applicant must .have all submittals into the City offices 25 days before the <br />Planni ng Comrni ssi on Meeting. Planning Commission Meetings are hold on the third <br />Monday of each nionth.