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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />rens? <br />DESCRIPTION OF REQUEST <br />Describe request in detail: Lfc- <br />AJ^is>rif>u T7> r-r <br />ided o REQUIRED SUBMITTALS <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 /i-663 Government Center 348-3271) <br />3. Stamped, legal si2ed 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 />* • • V . ^ * . • j - ’ i : . ' f I ' ^ ..., ^ • • <br />6. Plat Map. <br />a <br />The Applicant and Property Owner must s: gn this application. Please remember <br />that your application is not complete if the above information has not been <br />.included. <br />i ^ <br />APPLICANT'S SJ:r.HATURE <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 his/her knowledge.4^^Applicant's signature <br />OWNERS SIGNATURE <br />Date <br />r <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 />CB . j Date / / // 3, / 5Owner's signature <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Conunissicn Meetings are held on the third <br />Monday of each month.