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JfRBSEHT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property X Residential <br />Other (specify) <br />OESCRIPTIOM OP REQUEST <br />Describe request In detail: area in bacVyard to create a water <br />^ a t c r p r o b 1 c ^ i ii I o v» c r “** <br />levels of hor!t.-s . <br />R] <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />riRBD SUBMITTALS <br />Coapleted Application Fom. <br />Certified Propecty Owners List of owners within 350' (you can obta <br />this list front Hennepin County Department of Finance A-603 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 persona you wish notified of this application. <br />YOU ARB REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A NORKIEG COPY (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 Staffs______________ Date <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required ox <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 a information supplied <br />is true and correct to the best of his/her )cnowledg.t. <br />Date <br />/ <br />OMIBRS 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 />^plicant 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 6 Zoning <br />Office of this change prior to the meeting. <br />- ............--------------------------------------------------------------------------■-