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PE2SZNT US£ CF PKCPZKTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify)_ <br />DESCRIPTION O? REQUEST ^ ^ rs ^ <br />Describe recuest in detail: ^cAs/^Tlc^ OF Pg3»T~ <br />**■ « i _ -— Aft.. . . L jm i Im. TD ^ Agi^Tfc t^o<^ q&v <br />M- pVaT"”/*^ <br />REQUIRED SUBMITTALS <br />:• ce-vH'iVd l-is* oJ owners vithin 350' (ycu can obtai <br />thlTifst Jrcn Hennepin County Departaent of Finance A-603 Governner. <br />Center 348-3271). <br />3. Plat Map. j ^ <br />4. Certificate of survey (signed by a licensed surveyor). <br />5. <br />6. <br />7. <br />any <br />you ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (11* X 17* OR SMALLER) FOR ALL DOCUMENTS SUB^TOT._____ <br />-^e'aVolicant and Property Owner must sign this application. Please <br />i^ember that your application is not complete if the above information has <br />not been included. __________________________ <br />Certlficltllt"by”clerlcal Department that La.nd Use Application is complete. <br />Initials of Clerical Staff:_ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ Date_ _ ___ ___ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all (staff <br />requested by t.he Zoning Administrator, agrees to pay additional . <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the informat-on supplied <br />is true and correct to the best his/her knowledge. <br />Applicant’s signature JlL <br />it of <br />=9-Date <br />The owner hereby acknowledges and agrees to^t.his ^^gy^tants, <br />authorized reasonable entry onto the property by City staff, _f- of <br />agents, commission members, and_ Council members for purposes of <br />investigation and verificati^ of this request. <br />________ Date ___—Owner's signature <br />AopIIcant must have all submittals into t.he City offices 25 <br />Planning Commission Meeting. Planning Commission Meetings <br />unable to attend a scheduled meeting, please make arrangements <br />authorized agent attend in your place and advise the Building * zoning <br />Office of this change prior to the meeting.