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PRESENT USE OP PROPERTY <br />Present Zoning District ~ <br />Present Use of Property X esidentiial <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail:1' r 4 A’A** <br />A A*t4 's 4 <br />£iU< riA ^4 •^4 -^4^ f ^^fy,/<»'"»v *■ A ^ <br />REQUIRED SUBMITTALS <br />1. Coipleted Application Fora. <br />2. Certified Property Owners List of owners within 350* (you can obtai <br />this list fron Hennepin County Departnent of Finance A-b03 Covernraen <br />Center 348-3271). <br />3. Plat Map. <br />4. Certificate of survey (signed by a licensed surveyor), <br />5* Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPT (11* X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner oust sign this application. Please <br />reaeaber that your application is not complete if the ^cve information has <br />not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Cl jrlcal Staff:_________________________________Date _________________ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or xinusual expenses Incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to the'best of his/l)er )cnowledge. <br />Applicant's signature <br />rnermest or nis/bei <br />Data 4-uM- <br />IS SIGNATURE <br />The owner hereby ac)cnowledges 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 veriff^tion. of this .request. <br />Owner's signature (, yj/k.^ //c/c^j \ Date ____ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Comiuission Meeting. Planning Comiaission 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 males arrangements to have an <br />authorized agent attend in your place and advise the Building a Zoning <br />Office of this change prior to the meeting.