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'■’^•i'/.'<4ip <br />?c <br />PRSSBMT USB OP PROPERT^f <br />Present Zoning District I <br />Present Use of Property Residential <br />Other (specify)^ <br />DESCRIPTION OP REQUEST <br />Describe request in detail; <br />R <br />1. <br />2. <br />>•11 <br />3. <br />4. <br />5. <br />6. <br />7. <br />riRBD SUBMITTALS <br />Completed Application Form. j <br />Certified Property Owners Lf :• • owners within 350' (you can obtain <br />this list from Hennepin County i;^ijartment 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 planr 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 />Bvyifc'V <br />'y.Vr‘S Li-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 />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 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 his/her knowledge. <br />Applicant's signature <br />IS SIGNATURE <br />Date <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 or <br />investigation and verification of this request. <br />^^bwnar's signature ^CU Date ____ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Cw.mmission Meeting. Planning Commission Meetings are hold 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. <br />. ;s