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PRESENT USE OF PROPERTY <br />I <br />Prcr.ont Zoniiuj District - if\ <br />Present Use of Property ~~ / A <br />#965 <br />Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail: 'f~l 11 ly) <br />^ vywi j ’vo'^- (AHc' .-'HcxvS " \^AAj.>iA ' <br />~&Lkiy__•/'tu- fJu'Tlr <br />_ _6£C._AriPv:r__iViiTO^__;^edr_—b^tocu <br />REQUIRED SUBMITTALS t <br />1. Completed Application Form. <br />2. 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 />4. Certificate of survey. <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 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 i*eview of this application# and certifies that the information supplied is true <br />and correct to the best of his/her )tnowledge. <br />'^ohn c t^cciuApplicant's signature <br />OWNERS SIGNATURE 6Tt> # <br />Date <br />The owner hereby ac)tnowledgos and agrees to this application and further <br />authorizes »‘easonable entry onto the property by City staff# consultants, <br />agents, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />Owner's signature •’ y —7 yt Date. 7" />«/f c. \( <br />Applicant must have all submittals into the City offices 25 days before the <br />P1 anni ng Commission Mcet.ng. Plar>ning Conunission Mcetings are held on tlie t)iird <br />Monrl;»v fif o,irh month.