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PHKr.KNT Ur>K OK I’KOI'KKTY <br />Prt'ncni Zoning District <br />Pi csont Use of Prtipt?rty __Residential <br />_ _ _ _ _ _ _ Other (specify) _ _ _ <br />DESCRIPTION OF REQUEST <br />Describe request in detai): <br />y <br />REQUIRED SUHMITTALS <br />1. Completed Application Form. <br />2. <br />3. <br />A <br />*1 . <br />Cert if ied Property Owner s List of owners within 350' (you can obtain this list <br />from Hennepin County Department of Finance A-603 Government Center 348-3271 ) <br />% * — <br />Stamped, legal sized envelopes (110) pro-addressed to each of the names on the <br />above list with no return address. <br />Certificate of survey. <br />5. Construction plans, if applicable. <br />6. Plat Map. <br />The 7ipplicant and Property Owner must sign this application. Please rcmemljer <br />that your application is not coniplete if the above information has not been <br />included. <br />** •• •• •• mm mm mm m m mm mm ^m mm ^m mm mm mm mm ^m mm mm mm mm mm mm ^m mm mm mm mb m» mm mm ^m mm mm mm mb mm m mm ^m <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by <br />the Zoning Admi ni St ra tor , agrees to pay al 1 fees and/or unusual expenses incurred <br />in review of this appl icat i on , and certifies t)»at the i nf ormat i on supplied is true <br />and correct to the liest ^of -)ris/her knowledge. <br />Applicant's signature' <br />OWNERS SIGNATURE <br /><? 272,.yL^Date <br />The owner iiereby acknowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, cemmission members, and Council members for purposes of investigation <br />and verification of this request. <br />Owner's signature Da t e <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commiss.ion M<;et ing. Planning Commission M« etings are held cn t lie third <br />Monday of each n.entl).