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PRESENT DSE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential_ _ <br />— otner (scecify) <br />DESCRIPTION OP REQUEST . T3 /v <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />'• C«^dfied p'?oVer\1°V^n ”; List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271). <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). ,.«?•* j <br />Topographic survey (existing and proposed contours) i- xan <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see stafr for requirements). <br />As an addendum to this application, please attach a separate ..ist of <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPY (ll* X 17■ OR SMALLER) FOR ALL DOCUMENTS SUBMITTED <br />The applicant and Property Owner must sign this application. <br />remember 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:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Date_— - - - - - - - - <br />APPLICANT'S SIGNATURE <br />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 information supplied <br />is true and correct to the best of _hijp/her knowledge. <br />Applicant's signature _ _ _ Date o I <br />(OmiBRS SIGNATURE . , . a <br />The owner hereby acJcnowledges and agrees to this application and further <br />jf tfATi Q.f t^hls i;0quest:# kinvestigation and vejfificati' <br />Owner's signature <br />Applicant must have all submittals into the City offices 25 <br />Planning Commission Meeting. Planning Commission Meetings ®^®_ <br />third Monday of each month. Applicants must be present at all scheduled <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 s Zoning <br />Office of this change prior to the meeting. <br />^