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L.. <br />PRESENT USE OF PROPERTY <br />Prci;ent Zoninq District <br />Present Use of Property V”Resident ini <br />Other (specify) __ <br />DESCRIPTION OF REQUEST <br />Describe request in detail: >j^< h ^^4 O it-4 4 <br />je20//^ /f S,j________________________ <br />I L^ /L > ^ i > / (< /> <br />• , V <br />Js' <br />*'.• <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />/J. <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 348-3271 ) <br />dtn.^ v5^UxT* <br />Stampeo , legal sized envelopes ( f 1 0 ) pre-addressed to each of the names on the <br />above list with no return address. <br />jFT Certificate of survey. <br />5. Construction plans, if applicable. <br />Plat f-'a p. <br />The Applicant and Property Owner must sign this application. Please remember <br />that your application is not complete if tl:e above information has not been <br />included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by <br />the Zoning Admj nirt.rator , agrees to pay all fees and/or unusual expenses Incurred <br />in review of this application, and cortif ies that the information supplied is true <br />and correct to the best of his/her knowledge. <br />• ^ <br />Applicant's signature ■ 'K', v /C • '7/... / ^ \Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorizes reasonable entry onto tne property by City staff, consultants, <br />agents, commission members, and Council members for purposes of investigation <br />and verification of this request. <br />/i*. / • * <br />Owner'^s signature Dale <br />Applicant must have all submittals into the City offices 25 days before the <br />Plannir.g Connii s;. i on ot i ng . Planning Commission Meetings are held on tire third <br />Monday of each month. <br />i I <br />i »j <br />1 <br />( <br />i