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L <br />PRESENT OSE OP PROPERTY <br />Present Zoning District i6 <br />Present Use of Property _ _ Residential <br />Other (specify) coutS€ <br />DBSCRIPTIOH OF REQUEST ^ ^ ^ ^ <br />Describe request in detail: <br />jtJffj ^ _S^f^rr ■- - - - - <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. ^ <br />2. Certified Property Owners List of owners within 350' (you can obta. <br />this list from Hennepin County Department of Finance A-603 Governme: <br />Center 348-3271). <br />3. Plat Map. ^ % <br />4. Certificate of survey (signed by a licensed surveyor). » i a <br />5. Topographic survey (existing and proposed contours) if lana ^ <br />alterations involve changes in elevation (grades). ■ <br />6. Construction plan^ if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list or <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A flORKING 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^- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I <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 rhe information supplied <br />is true and correct to the best of his/her knowledge. <br />Applicant's signature ^ ^ . Date <br />The owner hereby acknowledges and agrees to this <br />authorized reasonable entry onto the property by City staff, <br />agents, commission members, and Council members for purposes of <br />investigation amd verification of this request. <br />Owner' s signature jH ^ ^ __n <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission , <br />third Monday of each month. Applicants must be <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- g <br />Office of this change prior to the meeting. J <br />\