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PRESENT DSE OF PROPERTY <br />Present Zoning District <br />Present Use of Property J Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail: < ~\ \kj gjaywiy,_____ ^ <br />LWlNJCb C-rrttr/og^ —rs cx^yxi^itu ua cippiT?*^ <br />ngtc) .r^>V>~uCtu\~^ I iiWL‘’'L f*n>slVJc tnrt-i *' <br />UIRED SUBMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350* (you can obta <br />this list from Hennepin County Department of Finance A-603 Governme <br />Center 348-3271). , /.i i P / ■ ^ ^ -h- <br />Plat Map. ‘ UOuaUPt ^ <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contours) if lane <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). <br />r 7. ^As an addendum to this application, please attach a separate list of <br />^ 5^f,jJ)^\any^ other persons^ you wish notified of this application. <br />—• HjLuJ C/rvt<3^/iUcfu>x ‘ <br />(p. <br />5. <br />6\ <br />vV ^f,jjr^\any other persons y <br />jyi. >?; 1 ^ <br />YOU ARE REQUIRED <br />k ..unorTKir! r*ni>v <br />TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />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 oi <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 the information supplied <br />is true and correct to the best of^Jii^/her knowledge. <br />Applicant*s signature Date /0-c3/ ~ <br />OWNERS 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 jO ^ <br />Applicant 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 & Zoning <br />Office of this change prior to the meeting.