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PRESENT OSS OP PROPERTY <br />Present Zoning District <br />.VX Present Use of Property Residential <br />Other (specify)_. <br />DESCRIPTION OP REQUEST <br />Describe request in detail: <br />2. <br />REQUIRED SUBMITTALS <br />List of owners within 350- (you can obtain <br />thH list f^^rHen'nepin county Department of Finance A-603 Government <br />Center 348-3271). <br />Plat Map. » <br />Certificate of survey (signed by a licensed land <br />Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />?onstructiln plan, if applicable (see staff for requirements). <br />L an addendmn 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 />vnn ARE RROUIRED TO SDPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A 17* OR SMALLER) FOR ALL DOCDMKHTS SDBMl-PTTO. <br />The applicant and Property Owner must sign this applicatio^ Please <br />rS^em'bl^rnhSt Vur%;;nca\7on ir;o^ 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: - - - - - - - - - - - - -- _ _ _ _ _ _ _ _rc <br />^Sf^^HcanrJJ^by agrees to provide all information required <br />by the zoning Administrator, _agpe_s^ to^pay ^additio^^ <br />tTme^not^covered by original fee payment) and/or unusual expenses incurred <br />Jfre^!L orthis application, and'^ certifies that the information supplied <br />is true and correct to the best of his/her knowledge. <br />or <br />(staff <br />Applicant's signature 6>-/ :.n Date ^ - -gf I? <br />?^n“'^'^y acknowledges and agrees to this app 1 icatio„ and f urther <br />r%«;UTe “ thi property by Ci^y staff, consultants, <br />agents, commission members, and Council members fo p p <br />investigation and verification of this request. <br />Owner's signature / p nA'SA.u h Y LU ' /f-r.dn Date •3- ‘-yj <br />AppIIcan7must have all submittals fabo bhe *:!^!- offices 25 the <br />Planning Commission Meeting. Planning Commis|sion Meeti g ocheduled <br />third Monday of each month. Applicants must be aoolicant is <br />review meetings of the Planning Commission and Council. If an appl <br />“tr ;ttVnd''‘a ''^ch^d-ulea meeting, <br />authorized agent attend in your place and advise the BuL..iing s ^ <br />Office of this change prior to the meeting. <br />tit- <br />‘'A <br />.<T <br />■ <br />U::