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PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />jrrens? <br />DESCRIPTION OF REQUEST <br />Describe request in detail; <br />luded on IRED SUBMITTALS <br />“ ir/6 s ' <br />H <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 />3. Stampedr legal sized envelopes (#10) 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 lias 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 knowledge. <br />Applicant's signature <br />OMNBRS SIGNATURE <br />Date <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, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />Owner's signature \ C ')/r'il ^ -7^Date <br />TZ7 <br />Applicant must have- all submittals into the City offices 25 days before the <br />Planning Commission Meeti ng. Planning Commission Meetings are held on the third <br />Monday of each month.