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f <br />If; <br />If-’ <br />a <br />PRESENT USB OP PROPERTY <br />Present Zoning District __ _ _ _ _ _ _ - <br />Present Use of Property _ _ _ _ _ _ _ _ _ _ Residential <br />_ _ _ _ _ _ _ Other (specify)___ _ _ _ _ _ _ <br />DESCRIPTION OF REQUEST - . “ <br />Describe request in detail: ^s:>—Cits— <br />_ _ _ _<3-^ N <^\--«-•»*-A ' b/^ - -- - - - - - - -' <br />REQUIRED SUBMITTALS <br />‘1. Completed Application Form. .»-«•/ U4.«4-2 Certified Property Owners List of owners within 350 (you can obtai. <br />this list from Hennepin County Department of Finance A-603 Governmen- <br />Center 348-3271). <br />3. Plat Map. j % <br />4. Certificate of survey (signed by a licensed surveyor). ,^ <br />5. Topographic survey (existing and proposed contours) if land <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 <br />any other persons you wish notified of this application. <br />■{' <br />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 (staft <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 o£_Jiis/her knowledge. <br />Applicant's signature _ _ _ Date —^ "7*^- - <br />The owner hereby acknowledges and agrees to this application and furth^er <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 />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 cm tne <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