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DBSCRIPTION OP REQUEST __ ^ <br />Describe request in detail: /^LLiLD ! (aJo S7bt/2.y^ r6L&> <br />* <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Procerty /77/IA’aJA Residential <br />Otlier (specify) <br />J £yK\OS(LAPl, <br />■* <br />2. <br />REQUIRED 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 separate list of <br />any other persons you wish notified of this application. <br />3. <br />4. <br />S. <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 application. 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 />1 <br />IPPLICANT'3 SIGNATURE <br />rhe 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-^ho- of jj^s/her knowledge. <br />Applicant's signatur Date <5^-^ ^ ! <br />/ 7OmiBRS SIGNATURE / <br />The owner hereby acknowledges and agrees to this application and further <br />luthorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />Investigation and verifigatAgn of this request <br />Owner's sicmaturer^>^2--f-^ Z —-----Date <br />Applicant must have aH^^auWmittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />f0view meetings of the Planning Commission and Council. If an applicant is <br />unable tr 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. <br />l - Jj