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r <br />PRESENT OSB OP PROPERTY <br />Present Zoning District <br />Present Use of Property P.esidentia.l <br />"ether (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />2! Certified P^roVe^]^^^ List of owners within 35 0' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271). <br />3-4. <br />5. <br />I <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). . ^ , , <br />Topographic survey (existing and proposed contours) xand <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). ^ <br />As an addendum to this application, please attach a separate xi <br />any other persons you wish notified of this application. <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 />list of <br />The apolicant and Property Owner must sign this application. Please <br />remembe'r that your application is not complete if the above information has <br />not been included. __________ <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:.________________________________ —____________ <br />APPLICANT'S SIGNATURE ^ _____The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the informatioii supplied <br />is true and correct to »the bast 'pf^his/her knowledge. <br />DateApplicant's signature ^ <br />OWNBRS SIGNATURE —H ---------^ ^ <br />The owner hereby acknowledges and agrees to this application and tx^tne <br />investigation and ^Rerifiication ^pf request <br />Owner's signature Date <br />Applicant must h <br />Planning Commission <br />1*1 ^ab^XaUs into the City offices 23 days before the <br />AV?r?«?t?rusViTp«fen"t l'’*3oh^ <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and advise the Building fi Zoning <br />Office of this change prior to the meeting.