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PRESENT OSE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Uir Residential <br />Ctner (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail:(1) 0=^ ocr^ <br />t $//A'^o A^»y3/7(^ <br />¥ <br />2. <br />RBQITIRBD SUBMITTALS <br />1, Completed Application Form. <br />Certified Property Owners 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 />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contours) if land <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 separata list of <br />any other persons you wish notified of this application. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP 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 app 1 ica,tion. Please <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 che information supplied <br />is true and correct to the best pf h^s/^e^ knowledge. <br />Applicant’s signature Date <br />OmiERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, end Council members for purposes of <br />investigation and ver^ication o^^is request. <br />■- DateDwner's signature <br />^plicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />:hird 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 />mable to attend a scheduled meeting, please make arrangements to have an <br />luthorized agent attend in your place and advise the Building 6 Zoning <br />}ffice of this change prior to the meeting. <br />L <br />■