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x-xu:iO£>4«X Ktatt iJJf JfH.VX'StA'l'1 <br />Present Zoning District <br />Present Use of Property _ _ Residential <br />Other (specif y) I a<l <br />DESCRIPTION OP REQUEST <br />Describe reqi^est in detail: Xt <br />/?eP/Ac^ u>ti-k 6>JiO. a, A <br />J\/eui C-BbtiO C Out^J/iAtC') ^qa}4»«c^ t*u P PA&ztvcf <br />2. <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-60 3 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 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 />TOO ARB REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPT (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 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/^b^t of his/her )cnowledge. <br />Applicant's signature <br />ine^o^t or n <br />Date <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'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 an <br />authorized agent attend in your place and advise the Building fi Zoning <br />Office of this change prior to the meeting. <br />1^1