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PRESENT OSS OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Ccner (soecify) <br />DESCRIPTION OP REQUEST <br />Describe request in d^ail:^ JluUiC^jU^ 'ly'y <br />!h,. f 'y~^L <br />/T^j -hrx/i ------------------------------------------------------- <br />2. <br />EtSQOIRSD SUBMITTALS <br />'• cerllfl^d "iioutr'; "own«s List of owners within 350’ (you oan obtain <br />this list from Hei.nepin County Department of Finance A-603 Government <br />Center 348-3271). <br />Certificate of survey (signed by a licensed surveyor). , , <br />Topographic survey (existing and prcaposed contours) if xand <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (sea staff for requirenen.s). <br />As an addendum to this application, please attach a separate -...s>- or <br />any other persons you wish notified of this application. <br />3. <br />4. <br />5. <br />5. <br />7. <br />YOU ARB REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR_ <br />A WORKING COPY (ll* X 17« OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />?»e4lv the?Vur" appfilft/on'T^noroompl'efe tL"Lw”inf°o™ation* h“ <br />not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff_ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ __ Date- - - - - - - - - <br />APPLICANT'S SIGNATURE . j - rhe applicant hereby agrees to provide all information lequired or <br />requested by the Zoning Administrator, agrees to pay additional fees (sta - <br />time not covered by original fee payment) and/or unusual expenses incurred <br />Ln review of this application, and certifies that the information suppxi <br />Ls true and correct to the ^est gj^his/her knowledge. <br />Applicant's signature Date /. <br />OWNERS STGNATORE . , ,,The owner hereby acknowledges and agrees to this application and <br />C^’^uTclY puT^=“LTVf <br />investigation and verif/catioAyd£J:his request. ^ y <br />Uner-s si,n«ure _ _ Date _^2±m <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on t <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If <br />unable to attend a scheduled meeti.ng, please make arrangements to have an <br />authorized agent attend in your place and advise the Building s Zo g <br />Office of this change prior to the meeting.