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PRSSBNT OSE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DBSCRIWI^OPr^^Tii^ detail: <?T= UCVV <br />“—iam* vMfu.(4or EF=T=Bar w/^ <br />2. <br />‘ a <br />r>'J <br />..f'»T <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtaii <br />this list from Hennepin County Department of Finance A-603 Governmen* <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 />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY {11" 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 />APPLICANT * S SIGNATURE <br />The applicant hereby agrec^ :o 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 applicaftlon^rtend,-«<»t^ies that the information supplied <br />is true and correct to thip^wSlror his^/n^r—Jcpowledge. <br />Applicant * s signatur Date •v/VKI 22?, |<SS22- <br />OWNERS 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, and Council members for purposes of <br />investigation and verification of this request. <br />Owner <br />tlgation and verification of this request. / <br />' s signature C\VXJ^ VxJ rYXsO-Oo-A/s. Date \j ^ ^ <br />Applicant must have all submittals 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 />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 & Zoning <br />Office of this change prior to the meeting.