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PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />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 />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contours) if lane <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 />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARB REQUIRED TO SUPPLY 30 COPIES OF LARGE <br />A flORKING COPY (11* X 17” OR SMALLER) FOR ALL DOO <br />ITS OR <br />ITS 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 oi <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 signatur Date g^//v-A7 <br />ONNERS 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's signature Date <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 ar <br />authorized agent attend in your place and advise the Building 6 Zoninc <br />Office of this change prior to the meeting.