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45 'i. <br />/Sf£e> Sc.^ _ t~9.-94 <br />[U OftIO__ <br />V <br />torrens? <br />Luded on required <br />I <br />i'i "Z-AT7V <br />li <br />Y y <br />Hi <br />I.V. <br />■f <br />SOWS <br />2 0 13:34 <br />F ORONO <br />4' <br />—B1 Wm" :.i'■yyyfi <br />%■ <br />V’. <br />present use of propertyPresent Zoning District Present Use of Property ::d(l€s.\T>6tsJ'n f('L Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: gfOOg-ST Pe^^»SS(0^ <br />‘i.* <br />t-AifiLln t:S —122,- -^ ^ <br />required submittals <br />1. <br />2. <br />3. <br />Completed Application Form. <br />certified Property Owners List of owners within 350 • (you can obtain this list <br />from Hennepin County Department of Finance A-603 Government Center 348 32 1) <br />Stamped, legal sized envelopes (#10) pre-addressed to each of the names on the <br />above list with no return address. <br />certificate of survey. - (WCtvt*0 w>T3, TtUcrt. vjWUhMCe tlCOt'EST. <br />M_____j_______a. ^ if ar\r%1 g r'ahl CTIO '^ILE. VS I tvJ iS” ^ <br />4. <br />5. Construct <br />6. Plat Map. <br />The AoDlicant and Property Owner must sign this application. Please remember <br />?hat your Ippl "cation is not complete if the above information has not been <br />included. <br />APPLICANT'S SIGNATURE <br />The aoolicant hereby agrees to provide all information required or requested by <br />Sle zoning AdLnYstr"ator, agrees to pay all fees an^or <br />in review of this application, and certifies that the information supplied is true <br />and correct to the best of his/her knowledge. <br />_ _ _ _ _ _ _ Date ..Applicant's signature <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application an^ <br />authorizes reasonable entry onto the property by City staff, .c°"®“Jtants, <br />agents, commission members, and Council members for purposes of investigation <br />and verification of this reques^ <br />_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _Owner's signature Date *7/^^ <br />Applicant must have all submittals into the City offices 25 days <br />Planning Commission Meeting. Planning Commission Meetings are held on the third <br />Monday of each month. <br />‘■4,- <br />i <br />fi,;- . <br />• <br />i <br />.1 <br />km <br />cm <br />mm <br />t <br />:n • ^ <br />4 A <br />m