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L <br />pRESKrcT USE oy rjion.KTY <br />rn-sent */V:)tiinq I)i*;trict: <br />rrc'sont Hr.o of Property Hosidentih1 <br />Other (s[>ecify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />RK^HJIKED SUHMITTALS <br />1. Completed Application Form. <br />2.Certified Property Owners List of owners within 350' (you can obtain this <br />list from Hennepin County Department of Finance A-603 Government Center <br />348-3271) <br />3. Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on tlie above list with no return address. <br />4. Certificate of survey. <br />5. Construction plans, if applicable. <br />6. Plat Kip. <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 <br />by tlie Zoning Administrator, agrees to piy all fees and/or unutual exf>enses <br />incurred in review of tias application, and eertified that the information <br />supjilied is true and correct to -th<?"he3^'^f his/her knowlecJqe. <br />Applicant's signature_ — Date <br />OWNER’S SIGNATURE <br />/ <br />Tlie ownt?r hereby acicnowledges and aqreos to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purjxises of investigation <br />and verification of tins request. <br />Owner's signal urtr Da t <br />Applicant must have all submittals into tlie City offices 25 days tieforo the <br />Planning Commission M<*eting. Plannitio Commission M»*etinus are held on tiie <br />third Monday of »*ach month. <br />\ <br />!i <br />f I <br />{